Department of Obstetrics, Oslo University Hospital, Oslo, Norway; Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway.
Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway.
Sex Reprod Healthc. 2022 Sep;33:100751. doi: 10.1016/j.srhc.2022.100751. Epub 2022 Jun 15.
International guidelines recommend that external cephalic version (ECV) be offered to all women with single fetuses in breech presentation at term. In Norway, ECV is not offered routinely; the national clinical guidelines advice that birth units capable of offering ECV for breech pregnancies make their own practice decisions. This study was performed to determine the extent to which Norwegian birth units offer ECV to pregnant women with fetuses in breech presentations at term, and to identify factors that might influence the use of ECV.
A survey of all 39 obstetric birth units providing ECV in Norway was conducted using a self-reporting questionnaire about ECV availability, attitudes, clinical procedures, perceived competence, and outcome expectations.
Chief obstetricians from all birth units responded. Twenty-six (67%) respondents reported that their units offered ECV for breech presentation at term to a large degree. Thirty-one (80%) respondents reported a large degree of competence in performing ECV. Thirty-three (85%) units followed local ECV procedures. Nineteen (49%) units provided standardized information about the procedure to pregnant women. The respondents had different views about who should be offered ECV, and varying knowledge about ECV outcomes.
The majority of Norwegian birth units offer ECV to pregnant women with fetuses in breech position to a large extent. However, the survey results reveal challenges related to ECV information provision to pregnant women, determination of women's eligibility for ECV attempts, and familiarity and agreement with the knowledge base regarding ECV.
国际指南建议对所有处于臀位足月单胎孕妇提供外倒转术（ECV）。在挪威，ECV 并非常规提供；国家临床指南建议有能力进行 ECV 以矫正臀位妊娠的分娩单位自行决定其实施方式。本研究旨在确定挪威分娩单位对足月臀位孕妇提供 ECV 的程度，并确定可能影响 ECV 使用的因素。
对挪威所有 39 个提供 ECV 的产科分娩单位进行了一项调查，使用自我报告问卷评估 ECV 的可用性、态度、临床程序、感知能力和预期结果。
所有分娩单位的首席产科医生都做出了回应。26 名（67%）受访者表示，他们的单位在很大程度上为臀位足月孕妇提供 ECV。31 名（80%）受访者报告在进行 ECV 方面具有很大的能力。33 个（85%）单位遵循当地的 ECV 程序。19 个（49%）单位向孕妇提供关于该程序的标准化信息。受访者对谁应该接受 ECV 有不同的看法，对 ECV 结果的了解也各不相同。
大多数挪威分娩单位在很大程度上为臀位足月孕妇提供 ECV。然而，调查结果显示，在向孕妇提供 ECV 信息、确定孕妇接受 ECV 尝试的资格以及熟悉并同意 ECV 知识基础方面存在挑战。
