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Contact the study team using the details below to take part. If there are no contact details below please ask your doctor in the first instance.
Dr
Eleri
Owen-Jones
owen-jonesce@cardiff.ac.uk
Prof
Christoph C
Lees
christoph.lees@nhs.net
Prof
Christoph
Lees
c.lees@imperial.ac.uk
Dr
Eleri
Owen-Jones
owen-jonesce@cardiff.ac.uk
Maternal care related to the fetus and amniotic cavity and possible delivery problems
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3-4% of babies are breech (buttocks-down) presentation at term (from 37 weeks gestation). Currently midwives can detect this at routine appointments by feeling the woman’s tummy, however 30-40% of breech presentations are missed using this method, thus approximately 1.6% of women present with breech presentation in labour. External cephalic version (ECV) can be offered to turn the baby to cephalic (head-down) presentation if breech presentation is detected towards the end of pregnancy, however later in pregnancy this becomes technically difficult with lower success rates, thus is not feasible in labour. Vaginal breech delivery is associated with increased risk to baby, and caesarean section in labour also poses increased risk to both mother and baby.
The ‘gold standard’ method for diagnosing fetal presentation is a conventional ultrasound scan by an ultrasound practitioner using hospital-based equipment. Point-of-care ultrasound (PoCUS) using portable devices has become popular in some acute specialties such as emergency medicine, and handheld PoCUS devices are a more recent development; they are small, portable and simple to use. It is not known if handheld ultrasound undertaken by midwives is comparable to conventional ultrasound scan by an ultrasound practitioner in diagnosing breech presentation.
This is a multicentre observational study in up to 20 maternity units recruiting over 18 months. The primary aim is to assess the accuracy (sensitivity and specificity) of midwives detecting breech presentation using handheld PoCUS compared to conventional ultrasound scan by a STP. The study will also aim to assess how acceptable handheld PoCUS is to midwives and pregnant women, assess how cost-effective it is, evaluate the training needs of midwives undertaking handheld PoCUS through surveys and questionnaires, and to explore if the rate of undetected breech presentations in labour will be reduced with routine use of PoCUS devices.
Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.
The recruitment start and end dates are as follows:
Observational type: Qualitative;
You can take part if:
You may not be able to take part if:
Multiple pregnancy Unable to attend second scan within one day
Below are the locations for where you can take part in the trial. Please note that not all sites may be open.
Prof
Christoph
Lees
c.lees@imperial.ac.uk
Prof
Christoph C
Lees
christoph.lees@nhs.net
Dr
Eleri
Owen-Jones
owen-jonesce@cardiff.ac.uk
Dr
Eleri
Owen-Jones
owen-jonesce@cardiff.ac.uk
The study is sponsored by Imperial College of Science, Technology and Medicine and funded by NIHR Evaluation, Trials and Studies Co-ordinating Centre (NETSCC) .
Your feedback is important to us. It will help us improve the quality of the study information on this site. Please answer both questions.
Read full details
for Trial ID: CPMS 53525
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