title: A randomised trial of an intervention package designed to promote external cephalic version at term.
abstract: OBJECTIVE
  To evaluate the effectiveness of an intervention package to promote external cephalic version (ECV).
  
  
  METHODS
  (1) Design and Setting--A randomised-controlled trial of 20 consultant-based maternity units in the West Midlands NHS Region. (2) Intervention Units--One consultant obstetrician from each unit was encouraged to promote changes in clinical practice within their unit. A multifaceted package including a workshop, written material, guidelines and videos was delivered to these consultants. (3) Control Units--No intervention. (4) Main Outcome Measure--The percentage of women with breech presentation at term who were offered ECV in the antenatal clinic, before and after the intervention.
  
  
  RESULTS
  Pre-intervention, there was no difference between the intervention and control units in the proportion of women offered ECV (20 and 19%, respectively). Post-intervention, the proportions were 15% in the control group and 36% in the intervention group (P=0.016).
  
  
  CONCLUSIONS
  This type of intervention package can alter clinical practice and increase the proportion of women with breech presentation at term being offered ECV after the intervention.
authors.affiliation: Academic Department of Obstetrics and Gynaecology, Women and Childrens Division, North Staffordshire Hospital NHS Trust (Maternity), Keele University, Newcastle Road, Stoke on Trent ST4 6QG, Staffordshire, UK.
authors.forename: R
authors.initials: R
authors.lastname: Burr
authors.forename: R
authors.initials: R
authors.lastname: Johanson
authors.forename: J
authors.initials: J
authors.lastname: Wyatt
authors.forename: I
authors.initials: I
authors.lastname: Watt
authors.forename: P
authors.initials: P
authors.lastname: Jones
mesh_terms: D001946:Breech Presentation; D005260:Female; D006801:Humans; D007743:Labor, Obstetric; D011247:Pregnancy; D016896:Treatment Outcome; D014710:Version, Fetal / Q000379:methods*