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A randomised trial of an intervention package designed to promote external cephalic version at term

Burr, R., Johanson, R., Wyatt, J., Watt, I. and Jones, P. (2001) A randomised trial of an intervention package designed to promote external cephalic version at term. European Journal of Obstetrics Gynecology and Reproductive Biology, 100 (1). pp. 36-40. ISSN 0301-2115

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To evaluate the effectiveness of an intervention package to promote external cephalic version (ECV). Study Design: (1) Design and Setting—A randomised-controlled trial of 20 consultant-based maternity units in the West Midlands NHS Region. (2) Intervention Units—One consultant obstetrician from each unit was encouraged to promote changes in clinical practice within their unit. A multifaceted package including a workshop, written material, guidelines and videos was delivered to these consultants. (3) Control Units—No intervention. (4) Main Outcome Measure—The percentage of women with breech presentation at term who were offered ECV in the antenatal clinic, before and after the intervention.


Pre-intervention, there was no difference between the intervention and control units in the proportion of women offered ECV (20 and 19%, respectively). Post-intervention, the proportions were 15% in the control group and 36% in the intervention group (P=0.016).


This type of intervention package can alter clinical practice and increase the proportion of women with breech presentation at term being offered ECV after the intervention.

Item Type: Article
Institution: The University of York
Academic Units: The University of York > Health Sciences (York)
Depositing User: York RAE Import
Date Deposited: 29 May 2009 09:30
Last Modified: 29 May 2009 09:30
Published Version: http://dx.doi.org/10.1016/S0301-2115%2801%2900436-...
Status: Published
Publisher: Elsevier
Identification Number: 10.1016/S0301-2115%2801%2900436-5
URI: http://eprints.whiterose.ac.uk/id/eprint/6123

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