[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"breech-presentation\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:breech-presentation":25},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,4,0,[8,40,65,88],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":4,"briefSummary":23,"conditions":24,"keywords":26,"overallStatus":27,"whyStopped":4,"lastUpdateSubmitDate":28,"lastUpdatePostDateStruct":29,"startDateStruct":32,"completionDateStruct":34,"leadSponsor":36,"locationsCount":39},"100617157","discourse-on-the-mothers-decision-regarding-the-mode-of-delivery-in-cases-of-breech-presentation-100617157",false,"NCT07314970","Discourse on the Mother's Decision Regarding the Mode of Delivery in Cases of Breech Presentation","Impact of the Practitioner's Discourse on the Mother's Decision Regarding the Mode of Delivery in Cases of Breech Presentation","DISCOURS-SIEGE","Inclusion Criteria:\n\nRegarding practitioners:\n\n* Doctor with a medical degree (Junior Doctor, Clinical Assistant, Hospital Practitioner, University Professor of Obstetrics), with a primary focus on Obstetrics\n* Practicing in a University Hospital in the Grand Est region (Besançon, Reims, Strasbourg, Nancy)\n* Agreeing to complete the self-administered questionnaire anonymously.\n\nRegarding patients:\n\n* Patient of legal age (≥ 18 years)\n* Having given birth in 2024 in a university hospital in the Grand-Est region (Besançon, Reims, Strasbourg, Nancy)\n* Delivery of a breech fetus \\> 37 weeks of gestation\n* Agreeing to answer the self-administered questionnaire anonymously.\n\nExclusion Criteria:\n\nRegarding practitioners:\n\nOther primary activity than obstetrics\n\nRegarding patients:\n\n* Minor patient at the time of delivery\n* Patient who had a cesarean section due to a uterine scar and maternal desire.\n* Patients with a history of uterine scarring or the presence of obstruction previa were also excluded due to the impossibility of authorizing vaginal delivery, regardless of fetal presentation.","ALL","18 Years",{"count":20,"type":21},200,"ESTIMATED","OBSERVATIONAL","Breech presentation is a common occurrence in routine practice, occurring in 3-4% of all term pregnancies. Despite its frequency, breech presentation at term remains a subject of considerable controversy within the medical community. This results in differing management approaches depending on the country, the center, and the practitioner. Indeed, from a pathophysiological perspective, during a breech delivery, the fetal head is the last segment to descend into the maternal pelvis. This is the largest fetal segment in terms of volume. Furthermore, the fetal head cannot accommodate itself to the maternal pelvis through plastic deformation. This presentation can therefore lead to specific complications that may be life-threatening for the unborn child.\n\nDespite its frequency, breech presentation at term remains a subject of considerable controversy within the medical community regarding the management of labor. In the 2000s, a randomized trial called the TERM BREECH TRIAL found a neonatal benefit of planned cesarean section compared to vaginal delivery of a breech fetus (prevention of perinatal death in 1% of cases). This resulted in a significant increase in the rate of planned cesarean sections for breech presentation worldwide. However, numerous more recent studies (notably PREMODA in France) have highlighted the many biases of the Term Breech Trial, and various literature reviews (including the 2015 Cochrane review) have demonstrated lower perinatal morbidity than that found by Hannah's team. In 2020, the CNGOF (National College of Gynecologists and Obstetricians of France) published new recommendations on the management of breech presentations at the end of pregnancy, proposing vaginal delivery as a possible alternative to a planned cesarean section, provided that the patient receives clear and honest information (benefits and risks of each delivery method). The choice of delivery method must be made in consultation with the patient after a dedicated consultation. Since these recommendations were published, management practices still vary between hospitals despite fairly precise guidelines.",[25],"Breech Presentation",[25],"RECRUITING","2025-12-31",{"date":30,"type":31},"2026-01-02","ACTUAL",{"date":33,"type":31},"2025-01-28",{"date":35,"type":21},"2026-02",{"name":37,"class":38},"University Hospital, Strasbourg, France","OTHER",1,{"id":41,"slug":42,"hasResults":11,"nctId":43,"briefTitle":44,"officialTitle":45,"acronym":46,"eligibilityCriteria":47,"healthyVolunteers":11,"sex":48,"minAge":18,"maxAge":49,"enrollmentInfo":50,"targetDuration":4,"studyType":22,"phases":4,"briefSummary":51,"conditions":52,"keywords":53,"overallStatus":27,"whyStopped":4,"lastUpdateSubmitDate":55,"lastUpdatePostDateStruct":56,"startDateStruct":58,"completionDateStruct":60,"leadSponsor":62,"locationsCount":64},"100578843","prediction-of-version-outcomes-for-external-maneuvers-of-breech-fetus-by-assessment-of-breech-progression-angle-100578843","NCT06816563","Prediction of Version Outcomes for External Maneuvers of Breech Fetus by Assessment of Breech Progression Angle","Prediction of Version Outcomes for External Maneuvers of Breech Fetus by Assessment of Breech Progression Angle (breech Progression Angle)","ECV","Inclusion Criteria:\n\n* Women \\>18 years of age with a single pregnancy at term (37-42 gestational weeks) with a fetus in breech presentation\n* Acquisition of Informed Consent Form\n\nExclusion Criteria:\n\n* Oligohydramnios: maximum flap \\\u003C 2cm\n* Placenta previa\n* Uterine malformations\n* Regular uterine dynamics\n* Metrorrhagia\n* Contraindications to vaginal delivery\n* Premature rupture of membranes\n* Nonreassuring cardiotocographic tracing\n* Previous uterine surgery","FEMALE","45 Years",{"count":20,"type":21},"Breech presentation complicates about 3-4% of single pregnancies at term. Although vaginal delivery is also possible in breech presentations, this is associated with an increased risk of fetal morbidity and mortality. The cephalic version for external maneuvers is an obstetric procedure that allows conversion of an abnormal presentation\u002Fsituation (breech or transverse) to a cephalic presentation by applying pressure to the maternal abdomen. Over the years, many authors have analyzed numerous factors that might be associated with an increased likelihood of successful maneuvering. Over time, transperineal ultrasonography has proven to be a valid, objective, and highly reproducible tool for the assessment of fetal head progression during delivery in conjunction with examination. The Angle of Progression (AoP) is the angle between the line passing through the longitudinal axis of the pubic symphysis and the line passing through the inferior border of the pubic symphysis and tangent to the fetal skull. AoP is an accurate and reproducible parameter for the assessment of fetal head descent during labor, with a strong correlation with the mode of delivery. The investigators are not aware of any studies that have established the role of transperineal ultrasound in assessing podietal engagement and its role in predicting the success of the cephalic version maneuver, an aspect the investigators want to explore with this study.",[25],[54],"Breech fetus","2025-02-04",{"date":57,"type":31},"2025-02-10",{"date":59,"type":31},"2021-01-11",{"date":61,"type":21},"2026-12-31",{"name":63,"class":38},"IRCCS Azienda Ospedaliero-Universitaria di Bologna",2,{"id":66,"slug":67,"hasResults":11,"nctId":68,"briefTitle":69,"officialTitle":70,"acronym":71,"eligibilityCriteria":72,"healthyVolunteers":73,"sex":48,"minAge":18,"maxAge":4,"enrollmentInfo":74,"targetDuration":4,"studyType":22,"phases":4,"briefSummary":76,"conditions":77,"keywords":4,"overallStatus":27,"whyStopped":4,"lastUpdateSubmitDate":79,"lastUpdatePostDateStruct":80,"startDateStruct":82,"completionDateStruct":84,"leadSponsor":86,"locationsCount":39},"100407008","twin-a-breech-external-cephalic-version-intervention-trial-twexit-100407008","NCT04579835","Twin A Breech External Cephalic Version Intervention Trial (TWEXIT)","Twin A Breech External Cephalic Version Intervention Trial","TWEXIT","Inclusion Criteria:\n\n* Presence of the written consent of the patients.\n* The patients must be over 18 years old .\n* No limit in the ability to consent.\n\nExclusion Criteria:\n\n* Age under 18\n* Limited ability to consent\n* Placenta previa\n* Fetal abnormalities",true,{"count":75,"type":21},45,"A prospective study assessing the use of external cephalic version for the management of Twin A breech presentation in twin pregnancy.",[25,78],"Twin; Complicating Pregnancy","2024-02-05",{"date":81,"type":31},"2024-02-06",{"date":83,"type":31},"2020-09-28",{"date":85,"type":21},"2026-09-28",{"name":87,"class":38},"Charite University, Berlin, Germany",{"id":89,"slug":90,"hasResults":11,"nctId":91,"briefTitle":92,"officialTitle":93,"acronym":4,"eligibilityCriteria":94,"healthyVolunteers":73,"sex":48,"minAge":18,"maxAge":49,"enrollmentInfo":95,"targetDuration":4,"studyType":96,"phases":97,"briefSummary":99,"conditions":100,"keywords":101,"overallStatus":27,"whyStopped":4,"lastUpdateSubmitDate":106,"lastUpdatePostDateStruct":107,"startDateStruct":109,"completionDateStruct":111,"leadSponsor":113,"locationsCount":39},"100530528","an-informative-video-before-planned-external-cephalic-version-100530528","NCT06187948","An Informative Video Before Planned External Cephalic Version","An Informative Video Before Planned External Cephalic Version - Does it Reduce Maternal Anxiety and Improve Chances of Success? - a Randomized Control Trial","Inclusion Criteria:\n\n* Women between ages 18-45\n* with a singleton gestation\n* at gestational week of 36 weeks 0 days until 38 weeks 0 days\n* who admitted labor word for external cephalic version .\n\nExclusion Criteria:\n\n* Women who had a past cesarean section\n* Women with oligohydramnios (Amniotic fluid index \\\u003C 5 cm)\n* Women who had a past external cephalic version\n* Women with a failed external cephalic version in current pregnancy\n* Women who take medication for depression\u002Fanxiety disorders\n* Women with a complicated pregnancy including fetal anomalies, polyhydramnios…",{"count":20,"type":21},"INTERVENTIONAL",[98],"NA","A randomized control trial to investigate whether an informative video before planned external cephalic version reduces maternal anxiety and improves chances of success.",[25],[102,103,104,105],"breech presentation","external cephalic version","maternal anxiety","informative video","2023-12-17",{"date":108,"type":31},"2024-01-03",{"date":110,"type":21},"2023-12-26",{"date":112,"type":21},"2027-12-01",{"name":114,"class":38},"Meir Medical Center"]