Cochrane · systematic review · CD000084
External cephalic version for breech presentation before term
Hutton, EK, Hofmeyr, GJ, Dowswell, T · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library
Pregnancy and ChildbirthAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 28.6%Moderate 0 · 0%High 5 · 71.4%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
External cephalic version (ECV) commenced before term versus ECV at term for breech presentation before term
Population: women with breech presentation before term
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Non‐cephalic presentation at the birth External cephalic version (ECV) commenced before term vs ECV at term | RR 0.81 [0.74, 0.9] | 3 studies · 1906 participants | High |
Vaginal cephalic birth not achieved (caesarean section + vaginal breech birth) External cephalic version (ECV) commenced before term vs ECV at term | RR 0.9 [0.83, 0.97] | 3 studies · 1888 participants | High |
Caesarean section External cephalic version (ECV) commenced before term vs ECV at term | RR 0.92 [0.85, 1] | 3 studies · 1888 participants | High |
Vaginal breech birth External cephalic version (ECV) commenced before term vs ECV at term | RR 0.44 [0.25, 0.78] | 3 studies · 1888 participants | High |
Apgar score < 7 at 5 minutes External cephalic version (ECV) commenced before term vs ECV at term | RR 1.16 [0.39, 3.44] | 2 studies · 1759 participants | Low Downgraded: imprecision |
Perinatal mortality (Stillbirth or neonatal mortality < 7 days) External cephalic version (ECV) commenced before term vs ECV at term | RR 0.23 [0.04, 1.34] | 3 studies · 1887 participants | Low Downgraded: imprecision |
Preterm birth < 37 weeks External cephalic version (ECV) commenced before term vs ECV at term | RR 1.51 [1.03, 2.21] | 3 studies · 1888 participants | High |