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.

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 July 22, 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 July 22, 2014).

Share This




More Health & Medicine News

Tuesday, July 22, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Courts Conflicted Over Healthcare Law

Courts Conflicted Over Healthcare Law

AP (July 22, 2014) Two federal appeals courts issued conflicting rulings Tuesday on the legality of the federally-run healthcare exchange that operates in 36 states. (July 22) Video provided by AP
Powered by NewsLook.com
Why Do People Believe We Only Use 10 Percent Of Our Brains?

Why Do People Believe We Only Use 10 Percent Of Our Brains?

Newsy (July 22, 2014) The new sci-fi thriller "Lucy" is making people question whether we really use all our brainpower. But, as scientists have insisted for years, we do. Video provided by Newsy
Powered by NewsLook.com
Scientists Find New Way To Make Human Platelets

Scientists Find New Way To Make Human Platelets

Newsy (July 22, 2014) Boston scientists have discovered a new way to create fully functioning human platelets using a bioreactor and human stem cells. Video provided by Newsy
Powered by NewsLook.com
Gilead's $1000-a-Pill Drug Could Cure Hep C in HIV-Positive People

Gilead's $1000-a-Pill Drug Could Cure Hep C in HIV-Positive People

TheStreet (July 21, 2014) New research shows Gilead Science's drug Sovaldi helps in curing hepatitis C in those who suffer from HIV. In a medical study, the combination of Gilead's Hep C drug with anti-viral drug Ribavirin cured 76% of HIV-positive patients suffering from the most common hepatitis C strain. Hepatitis C and related complications have been a top cause of death in HIV-positive patients. Typical medication used to treat the disease, including interferon proteins, tended to react badly with HIV drugs. However, Sovaldi's %1,000-a-pill price tag could limit the number of patients able to access the treatment. TheStreet's Keris Lahiff reports from New York. Video provided by TheStreet
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:
from the past week

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