External cephalic version success rate and associated factors: Experience from a tertiary center in Sub-Saharan Africa: A cross-sectional study.
<h4>Objective</h4>To determine the success rate of external cephalic version (ECV) and its associated factors in an Ethiopian setting.<h4>Material and methods</h4>A total of 152 ECVs performed at the St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia f...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2023-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0280404 |
| _version_ | 1797944000799309824 |
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| author | Abraham Fessehaye Sium Wondimu Gudu Tadesse Urgie Gebeyehu Masresha |
| author_facet | Abraham Fessehaye Sium Wondimu Gudu Tadesse Urgie Gebeyehu Masresha |
| author_sort | Abraham Fessehaye Sium |
| collection | DOAJ |
| description | <h4>Objective</h4>To determine the success rate of external cephalic version (ECV) and its associated factors in an Ethiopian setting.<h4>Material and methods</h4>A total of 152 ECVs performed at the St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia from June 1, 2018, up to March 30, 2019, were analyzed, using a prospective cross-sectional study design. Data were analyzed using SPSS version 21. Chi-square test of association was applied for categorical data analysis. Multivariate logistic regression analysis was used to determine predictors of success of ECV. Odds ratio, 95% CI, and P-value<0.05 were used to describe findings' significance.<h4>Results</h4>The success rate of ECV was 71.7%. ECV success rate did not differ between multiparous and nulliparous (AOR = 1.4, 95% CI 0.07-2.35), according to abdominal wall thickness status (AOR = 3.5, 95% Cl 0.29-42.40), and between unengaged and engaged presenting part (AOR = 1.1, 95% CI 0.26-4.74). A posterior placenta was associated with ECV success compared to anterior placenta (AOR = 1.14, 95% CI 1.03-2.60). Likewise, cases that experience no pain was associated with a higher ECV success rate (AOR 14.68, 95% CI 1.65-34.97). Soft uterine tone was also associated with a higher success rate compared to tense uterine tone (AOR = 3.89, 95% CI 0.02-0.39). Eighty-four percent of those mothers who had successful ECV had spontaneous vertex vaginal delivery.<h4>Conclusion</h4>The success rate of ECV in this study is found to be 71.7%, which is higher than reports from previous studies. Absence of pain during the procedure, posterior placenta, and soft uterine tone were associated with successful ECV. |
| first_indexed | 2024-04-10T20:31:43Z |
| format | Article |
| id | doaj.art-6407826b7ebe41519194c573843c5bef |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-10T20:31:43Z |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-6407826b7ebe41519194c573843c5bef2023-01-25T05:33:10ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01181e028040410.1371/journal.pone.0280404External cephalic version success rate and associated factors: Experience from a tertiary center in Sub-Saharan Africa: A cross-sectional study.Abraham Fessehaye SiumWondimu GuduTadesse UrgieGebeyehu Masresha<h4>Objective</h4>To determine the success rate of external cephalic version (ECV) and its associated factors in an Ethiopian setting.<h4>Material and methods</h4>A total of 152 ECVs performed at the St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia from June 1, 2018, up to March 30, 2019, were analyzed, using a prospective cross-sectional study design. Data were analyzed using SPSS version 21. Chi-square test of association was applied for categorical data analysis. Multivariate logistic regression analysis was used to determine predictors of success of ECV. Odds ratio, 95% CI, and P-value<0.05 were used to describe findings' significance.<h4>Results</h4>The success rate of ECV was 71.7%. ECV success rate did not differ between multiparous and nulliparous (AOR = 1.4, 95% CI 0.07-2.35), according to abdominal wall thickness status (AOR = 3.5, 95% Cl 0.29-42.40), and between unengaged and engaged presenting part (AOR = 1.1, 95% CI 0.26-4.74). A posterior placenta was associated with ECV success compared to anterior placenta (AOR = 1.14, 95% CI 1.03-2.60). Likewise, cases that experience no pain was associated with a higher ECV success rate (AOR 14.68, 95% CI 1.65-34.97). Soft uterine tone was also associated with a higher success rate compared to tense uterine tone (AOR = 3.89, 95% CI 0.02-0.39). Eighty-four percent of those mothers who had successful ECV had spontaneous vertex vaginal delivery.<h4>Conclusion</h4>The success rate of ECV in this study is found to be 71.7%, which is higher than reports from previous studies. Absence of pain during the procedure, posterior placenta, and soft uterine tone were associated with successful ECV.https://doi.org/10.1371/journal.pone.0280404 |
| spellingShingle | Abraham Fessehaye Sium Wondimu Gudu Tadesse Urgie Gebeyehu Masresha External cephalic version success rate and associated factors: Experience from a tertiary center in Sub-Saharan Africa: A cross-sectional study. PLoS ONE |
| title | External cephalic version success rate and associated factors: Experience from a tertiary center in Sub-Saharan Africa: A cross-sectional study. |
| title_full | External cephalic version success rate and associated factors: Experience from a tertiary center in Sub-Saharan Africa: A cross-sectional study. |
| title_fullStr | External cephalic version success rate and associated factors: Experience from a tertiary center in Sub-Saharan Africa: A cross-sectional study. |
| title_full_unstemmed | External cephalic version success rate and associated factors: Experience from a tertiary center in Sub-Saharan Africa: A cross-sectional study. |
| title_short | External cephalic version success rate and associated factors: Experience from a tertiary center in Sub-Saharan Africa: A cross-sectional study. |
| title_sort | external cephalic version success rate and associated factors experience from a tertiary center in sub saharan africa a cross sectional study |
| url | https://doi.org/10.1371/journal.pone.0280404 |
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