Ist die indische Wendung eine erfolgreiche Methode zur Senkung der Beckenendlagefrequenz?*

Abstract

In a prospective randomized study involving 30 gravidae with breech presentation the efficacy of a maternal positioning exercise--raising of the pelvis, abduction of the thighs, relaxed abdominal breathing--for the purpose of spontaneous version of the fetus into vertex presentation was investigated. The results were compared with the rate of uninfluenced, spontaneous version in a further 31 gravidae with the same initial conditions. In view of the low numbers involved no statistical statements can be made; however, version in 21 out of 30 positioned subjects (70%) as opposed to 17 out of 31 spontaneous versions indicates some degree of success. Considering the risks of breech presentation during pregnancy and at birth on the one hand and the absence of risk and good acceptance of the positioning exercise on the other, the method can be recommended.

Maternal Posture for Cephalic Version of Breech Presentation: A Review of the Evidence

“…The literature search for evidence produced four peer-reviewed reports of randomized controlled trials (3,(28)(29)(30). In one report, Smith et al (3) presented a meta-analysis that combined their trial's results with data from previous postural management trials, including the previously mentioned unconsented randomized controlled trial.…”

“…One report identified through the Cochrane Review (2) was excluded because control group participants were not provided with informed consent processes, which violated the Declaration of Helsinki code of ethics (27) for protection of human rights in research participation. Two research studies published in German (28,29) were translated into English.…”

“…Dose included frequency of performing the posture each day, length of each session in posture, and number of weeks doing the postural intervention ( Table 1). Three trials advised specific daily frequency and length of time in posture (3,29,30); the fourth trial was variable in daily dose of posture (28). One study limited doing the intervention until cephalic version occurred (28), and 3 studies asked women to perform the posture regardless of cephalic version for 1 week (3) or until delivery (29,30).…”

“…Bung et al (28) (Table 1). Bung et al did not comment on reversion back to breech after cephalic version (28). Obwegeser et al stated that no reversions occurred in either intervention or control group (29).…”

Central Neuraxial Blockade-Assisted External Cephalic Version in Reducing Caesarean Section Rate: Systematic Review and Meta-Analysis

“…They include postural techniques, entailing relaxation with the pelvis in an elevated position (knee-chest position assumed with full bladder) [22], “Indian Version” [23], Vibroacoustic stimulation for midline spine position [24], transabdominal amnioinfusion with warmed saline [25], acupuncture [26], and complementary medicine in form of moxibustion. The latter is a traditional Chinese medicine involving the burning of a herb, Artemisia vulgaris , close to the skin to induce warming sensation [27].…”