Featured Research

from universities, journals, and other organizations

When To Turn Breech Babies

Date:
June 20, 2007
Source:
McMaster University
Summary:
An international study aims to determine if a manual procedure to turn breech babies in the uterus can result in fewer births by caesarean section.

Eileen Hutton, assistant dean of midwifery at McMaster.
Credit: Image courtesy of McMaster University

An international study led by a McMaster researcher aims to determine if a manual procedure to turn breech babies in the uterus can result in fewer births by caesarean section.

Related Articles


The clinical trial, led by Eileen Hutton, assistant dean of midwifery at McMaster, is examining whether attempting to turn breech babies earlier in a pregnancy than the current practice will mean a higher success rate for the procedure, and ultimately fewer C-sections.

The number of births by caesarean section has been climbing in Ontario for the past five years. One of the reasons for the need for a C-section is fetuses that are in a breech presentation -- with their feet, instead of their heads, towards the pelvis. A fetus is in breech position in about one in every 25 to 30 full-term births. Although breech babies can be delivered by vaginal birth, most care providers recommend caesarean births.

A procedure called external cephalic version (ECV), in which a doctor or midwife uses their hands to manipulate the mother's abdomen and help the baby turn in a somersault-like motion, is recommended for women whose babies are in breech position at 37 weeks gestation. The procedure is successful in turning the baby in about 30 per cent of first-time moms, and 58 per cent of subsequent pregnancies.

"This is the first trial of its type, in which the timing of ECV is being studied," said Hutton, principal investigator of the trial, which involves about 20 countries and is funded by a $2.8 million grant from the Canadian Institutes for Health Research. "Although ECV is recommended for breech presentations at full-term, the success rate is not particularly good. We're hoping to determine if performing the procedure earlier, results in better outcomes."

The study began early in 2005, and is expected to be completed in another year. So far, nearly 1,000 women have been recruited to take part, and another 500 are still needed. The trial involves women in countries as diverse as Australia, Chile, Oman, Hungary, Egypt, Israel and Estonia, as well as Canada and the United States.

There are seven hospital centres in Ontario taking part, and Hutton's team is actively recruiting more centres, including Hamilton Health Sciences and St. Joseph's Healthcare in Hamilton.

When women are identified as having babies in the breech position, and agree to take part in the trial, they are randomly assigned to receive ECV at 37 to 38 weeks gestation, or at some point between 34 and 36 weeks gestation.

A pilot study conducted by Hutton in 2002 showed that earlier ECV was about 10 per cent more successful in turning breech babies than later ECV.


Story Source:

The above story is based on materials provided by McMaster University. Note: Materials may be edited for content and length.


Cite This Page:

McMaster University. "When To Turn Breech Babies." ScienceDaily. ScienceDaily, 20 June 2007. <www.sciencedaily.com/releases/2007/06/070614151740.htm>.
McMaster University. (2007, June 20). When To Turn Breech Babies. ScienceDaily. Retrieved October 30, 2014 from www.sciencedaily.com/releases/2007/06/070614151740.htm
McMaster University. "When To Turn Breech Babies." ScienceDaily. www.sciencedaily.com/releases/2007/06/070614151740.htm (accessed October 30, 2014).

Share This



More Health & Medicine News

Thursday, October 30, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Mind-Controlled Prosthetic Arm Restores Amputee Dexterity

Mind-Controlled Prosthetic Arm Restores Amputee Dexterity

Reuters - Innovations Video Online (Oct. 29, 2014) A Swedish amputee who became the first person to ever receive a brain controlled prosthetic arm is able to manipulate and handle delicate objects with an unprecedented level of dexterity. The device is connected directly to his bone, nerves and muscles, giving him the ability to control it with his thoughts. Matthew Stock reports. Video provided by Reuters
Powered by NewsLook.com
Google To Use Nanoparticles, Wearables To Detect Disease

Google To Use Nanoparticles, Wearables To Detect Disease

Newsy (Oct. 29, 2014) Google X wants to improve modern medicine with nanoparticles and a wearable device. It's all an attempt to tackle disease detection and prevention. Video provided by Newsy
Powered by NewsLook.com
Can Drinking Milk Lead To Early Death?

Can Drinking Milk Lead To Early Death?

Newsy (Oct. 29, 2014) Researchers in Sweden released a study showing heavy milk drinkers face an increased mortality risk from a variety of causes. Video provided by Newsy
Powered by NewsLook.com
Obama: The US Will Not 'run and Hide' From Ebola

Obama: The US Will Not 'run and Hide' From Ebola

AP (Oct. 29, 2014) Surrounded by health care workers in the White House East Room, President Barack Obama said the U.S. will likely see additional Ebola cases in the weeks ahead. But he said the nation can't seal itself off in the fight against the disease. (Oct. 29) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

    Environment News

    Technology News



    Save/Print:
    Share:

    Free Subscriptions


    Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

    Get Social & Mobile


    Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

    Have Feedback?


    Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
    Mobile: iPhone Android Web
    Follow: Facebook Twitter Google+
    Subscribe: RSS Feeds Email Newsletters
    Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins