Ciliacus Emily, van der Zalm Marieke, Truijens Sophie E, Hasaart Tom H, Pop Victor J, Kuppens Simone M
Department of Obstetrics and Gynecology, Catharina Hospital, Eindhoven, the Netherlands.
BMC Pregnancy Childbirth. 2014 Mar 12;14:101. doi: 10.1186/1471-2393-14-101.
Objective was to determine whether fear for external cephalic version (ECV) and depression are associated with the success rate of ECV in women with a breech presentation at term.
Prospective study conducted in the Catharina Hospital Eindhoven between October 2007 and May 2012. Participants fulfilled The Edinburgh Depression Scale (EDS) questionnaire and expressed their degree of fear on a visual analogue scale from one to ten before ECV. Obstetric factors were evaluated as well. Primary outcome was the relation between psychological factors (fear for ECV and depression EDS scores) and ECV success rate. Secondary outcome was a possible relation between fear for ECV and increased abdominal muscle tension.
The overall success rate was 55% and was significantly lower (p < 0.001) in nulliparous women (44.3%) compared with parous women (78.0%). Fear for ECV and depression EDS-scores were not related with ECV success rate. Parity, placental location, BMI and engagement of the fetal breech were obstetric factors associated with ECV outcome. There was no relation between fear for ECV and abdominal muscle tone.
Fear for ECV and depression were not related with ECV success rate in this study. Engagement of the fetal breech was the most important factor associated with a successful ECV.
The Eindhoven Breech Intervention Study, NCT00516555.
目的是确定足月臀位孕妇对外转胎位术（ECV）的恐惧及抑郁情绪是否与ECV成功率相关。
2007年10月至2012年5月在埃因霍温卡塔琳娜医院进行的前瞻性研究。参与者完成爱丁堡产后抑郁量表（EDS）问卷，并在ECV前用1至10的视觉模拟量表表达其恐惧程度。同时评估产科因素。主要结局是心理因素（对ECV的恐惧和抑郁EDS评分）与ECV成功率之间的关系。次要结局是对ECV的恐惧与腹部肌肉张力增加之间的可能关系。
总体成功率为55%，初产妇（44.3%）的成功率显著低于经产妇（78.0%）（p<0.001）。对ECV的恐惧和抑郁EDS评分与ECV成功率无关。产次、胎盘位置、体重指数和胎儿臀位衔接是与ECV结局相关的产科因素。对ECV的恐惧与腹部肌张力之间无关联。
本研究中，对ECV的恐惧和抑郁与ECV成功率无关。胎儿臀位衔接是与成功实施ECV相关的最重要因素。
EBIS：埃因霍温臀位干预研究，NCT00516555。
