title: Patient satisfaction with childbirth after external cephalic version.
abstract: OBJECTIVE
  To assess acceptance and impact of external cephalic version (ECV) for breech presentation at term on maternal satisfaction with childbirth.
  
  
  METHODS
  Retrospective study on n = 131 women with breech presentation comparing maternal satisfaction after ECV and consecutive childbirth (n = 66; 50.4% of these successful attempts in n = 33; 50%) against the group without ECV and primary caesarean section (CS) (n = 65; 49.6%) instead using a questionnaire.
  
  
  RESULTS
  Women with successful ECV tolerated side effects of the intervention better than after unsuccessful ECV (pain, tocolytics, mental and physical state, for all p < 0.001). They were not more satisfied with childbirth than women who experienced an unsuccessful ECV (p = 0.37). However, they would undergo the procedure again (p = 0.003) and would recommend it to other women (p < 0.001). Only women with spontaneous vaginal deliveries after successful version were more satisfied with childbirth than women with planned CS (p = 0.05). Women with version attempts tend to perceive childbirth as being less problematic with fewer complications (9.5 vs. 19%, p = 0.12). Unsuccessful ECVs had no negative impact on satisfaction with childbirth (p = 0.072).
  
  
  CONCLUSIONS
  Attempting ECV seems to be an option for increasing the rate of vaginal births with breech presentation without negative impact on maternal satisfaction regarding consecutive childbirth.
authors: Gerhard
authors: G
authors: Bogner
authors: Barbara Eva
authors: BE
authors: Hammer
authors: Christiane
authors: C
authors: Schausberger
authors: Thorsten
authors: T
authors: Fischer
authors: Klaus
authors: K
authors: Reisenberger
authors: Volker
authors: V
authors: Jacobs
mesh_terms: D000328:Adult; D001946:Breech Presentation / Q000628:therapy*; D002585:Cesarean Section / Q000706:statistics & numerical data; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D006801:Humans; D017060:Patient Satisfaction; D011247:Pregnancy; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D014710:Version, Fetal / Q000379:methods*