If it is discovered that the Knee-Chest position is effective as the ECV action, the investigators will recommend every patient to persist with this position and avoid the ECV action and the risks it entails. The frequency of these complications is 1%-2%. Significance: With ECV there are number of risks and complications such as fetal distress, placental abruption, rupture of membrane, amniotic fluid embolism or damage to the uterus. At the end of this process the investigators will analyze the results and will come to the conclusions. Every woman will fill a questionnaire which includes gynecological history and details regarding the degree of persistence and performance of the activity. In week 37 the investigators will check via ultra sound if there was a successful version (if not, the woman would go to ECV) in the second group we will perform ECV without doing maternal Knee-Chest position before. In the first group the women will perform daily the Knee-Chest position between weeks 32-37. The posture of an individual supported by the knees and chest resting on a table. Every pregnant woman in a breech presentation with a singleton between weeks 28-32 will be randomly assigned into one of two groups. Knee-Chest Position Technical Definition. Methods: The investigators will conduct a "randomized clinical trial" study. Objectives: Investigate whether daily Knee-Chest position is as effective as ECV. Hypotheses: According to our assumption, the Knee-Chest position can reduce the need for the ECV action. In this study we wish to investigate if the Knee-Chest position is as effective as the ECV action and as a result to decrease the need for ECV. The knees-to-chest better reaches low back muscles when used passively. While youre pulling, try to relax your legs, pelvis, and low back as much as you can. In the knee-chest position, the patient lies on the side with both knees bent, with the top leg brought closer to the chest (Fig. ![]() ![]() ![]() The first is a version of the fetus from breech presentation to head presentation, which can be performed in several ways, such as, an action called EXTERNAL CEPHALIC VERSION as well as the Knee-Chest position by the pregnant mother and the second is a cesarean section. Gently pull your bent knee or knees toward your trunk, using your hands. The situation can be treated by two methods. Why Should I Register and Submit Results?īackground: The incidence of breech presentation in pregnant women is 4%.
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