UnknownNot Applicable

External Cephalic Version Immediately Before a Caesarean Delivery

42 participantsStarted 2021-08

Plain-language summary

Fetal malpresentation at term affects around 5% of pregnancy and breech presentation is the most common type of malpresentation. It is a common indication for a Caesarean delivery. External cephalic version (ECV) refers to turning the fetus manually and aims to increase the success of vaginal birth by reducing the need for Caesarean section.

Who can participate

Age range

18 Years – 55 Years

Sex

FEMALE

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * All women age ≥ 18 years old * Singleton pregnancy * Malpresentation * Have failed an ECV * Pregnant ≥ 37 weeks of gestation Exclusion Criteria: * Condition requiring emergency delivery * Other indication for Caesarean section * History of antepartum haemorrhage in the past 7 days * Oligohydraminos with amniotic fluid index \<5cm * Intrauterine growth restriction with abnormal fetal Doppler or cardiotocography * Rhesus isoimmunization * Rupture of membranes * Gross fetal anomaly * Major uterine anomaly * Contraindication or refusal to regional anaesthesia * Spontaneous cephalic version on the day of scheduled Caesarean section

Questions worth asking your doctor

Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.

1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?

Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.

Questions for the trial coordinator

The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.

1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?

A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.

What they're measuring

Vaginal birth

Timeframe: Delivery

Trial details

NCT IDNCT05020340

SponsorThe University of Hong Kong

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2024-07

View on ClinicalTrials.gov More Malpresentation Before Labor Affecting Fetus or Newborn trials