J 2021

Maternal body mass index and external cephalic version success rate - are they related?

JOUZOVÁ, Anna, Lukáš HRUBAN, Michal HUPTYCH, Petr JANKŮ, Martina DOSTÁLOVÁ et. al.

Základní údaje

Originální název

Maternal body mass index and external cephalic version success rate - are they related?

Autoři

JOUZOVÁ, Anna (203 Česká republika, domácí), Lukáš HRUBAN (203 Česká republika, garant, domácí), Michal HUPTYCH (203 Česká republika), Petr JANKŮ (203 Česká republika, domácí) a Martina DOSTÁLOVÁ (203 Česká republika, domácí)

Vydání

GINEKOLOGIA POLSKA, GDANSK, VIA MEDICA, 2021, 0017-0011

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30214 Obstetrics and gynaecology

Stát vydavatele

Polsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 1.216

Kód RIV

RIV/00216224:14110/21:00122036

Organizační jednotka

Lékařská fakulta

UT WoS

000674358900005

Klíčová slova anglicky

external version; breech presentation; pregnancy; maternal obesity; body mass index

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 17. 1. 2022 10:46, Mgr. Tereza Miškechová

Anotace

V originále

Objectives: External cephalic version (ECV) is a useful method helping to reduce the incidence of planned caesarean deliveries for fetal malpresentation. There is an effort to look for the best predictors for a successful ECV, the effect of maternal weight is still unclear. The aim of our study is to determine maternal body mass index (BMI) in association with the ECV success rate and the risk of complications. Material and methods: A retrospective observational cohort study in 981 women after the 36th week of gestation with a fetus in a breech presentation who had undergone an ECV attempt. We evaluated the success rate and complications of ECV in association with BMI categories according to the WHO classification of obesity. Results: ECV was successful in 478 cases (48.7%). In the category of overweight patients (BMI > 25; n = 484), ECV was successful in 51% and unsuccessful in 49% (p = 0.28) of cases. In obese patients (BMI > 30; n = 187), ECV was successful in 44.8% and unsuccessful in 55.2% (p = 0.28) of cases. The effect of BMI on the success rate of ECV for the category of overweight and obesity was not proven by statistical analysis. Serious complications occurred in seven cases in similar numbers in all three subgroups according to BMI. Conclusions: BMI in the categories of overweight and obesity is not a factor influencing the success rate and risk of complications of ECV. These results can be helpful when consulting pregnant women the chance of successful ECV.