Kew Natalie, DuPlessis Jacobus, La Paglia Domenic, Williams Katherine
The Royal Women's Hospital, Parkville, VIC, Australia.
Western Health, Melbourne, VIC, Australia.
Obstet Gynecol Int. 2017;2017:3028398. doi: 10.1155/2017/3028398. Epub 2017 Apr 23.
Our study aims to investigate and evaluate (1) rates of success of ECV for breech presentation at term at the Royal Women's Hospital in comparison to international standards; (2) mode of delivery following ECV; (3) factors influencing success rates of ECV at the Royal Women's Hospital. An audit of all women who underwent ECV between the years 2007 and 2014 at the Royal Women's Hospital as public patients was completed. Data parameters were collected from paper and electronic patient files at the Women's Hospital. Data was collected to analyse the effect of the following parameters on ECV success and birth outcome: age, parity, gestational age, BMI, AFI, and tocolytic use. These parameters were analysed to determine their effect on ECV outcome and birth outcome. The Women's Hospital, Melbourne, has an ECV success rate of approximately 37%. Of the patients undergoing ECV, 29% proceeded to normal vaginal delivery. Predictors of successful ECV included low BMI, multiparity, and AFI more than 16 ( < 0.05). The only predictor of cephalic vaginal delivery following ECV was multiparity. Negative predictors of cephalic delivery were low AFI and nulliparity. The success rate of ECV at the Women's Hospital, Melbourne, is in line with global standards.
（1）与国际标准相比，皇家妇女医院足月臀位外倒转术（ECV）的成功率；（2）ECV后的分娩方式；（3）影响皇家妇女医院ECV成功率的因素。我们完成了一项针对2007年至2014年间在皇家妇女医院作为公费患者接受ECV的所有女性的审计。数据参数从妇女医院的纸质和电子患者档案中收集。收集数据以分析以下参数对ECV成功率和分娩结局的影响：年龄、产次、孕周、体重指数（BMI）、羊水指数（AFI）以及宫缩抑制剂的使用情况。对这些参数进行分析以确定它们对ECV结局和分娩结局的影响。墨尔本妇女医院的ECV成功率约为37%。在接受ECV的患者中，29%顺利进行了正常阴道分娩。ECV成功的预测因素包括低BMI、经产妇以及AFI大于16（P<0.05）。ECV后头位阴道分娩的唯一预测因素是经产妇。头位分娩的负面预测因素是低AFI和初产妇。墨尔本妇女医院的ECV成功率符合全球标准。
