Sandra Founds, CNM, FNP, PhD, is Assistant Professor at the University of Pittsburgh School of Nursing.
Clinical Implications From an Exploratory Study of Postural Management of Breech Presentation
Article first published online: 24 DEC 2010
2006 American College of Nurse Midwives
Journal of Midwifery & Womens Health
Volume 51, Issue 4, pages 292–296, July-August 2006
How to Cite
Founds, S. A. (2006), Clinical Implications From an Exploratory Study of Postural Management of Breech Presentation. Journal of Midwifery & Womens Health, 51: 292–296. doi: 10.1016/j.jmwh.2005.11.010
- Issue published online: 24 DEC 2010
- Article first published online: 24 DEC 2010
- postural management;
- breech presentation;
- maternal knee-chest posture;
- evidence-based practice
The results from an exploratory study of the effectiveness of maternal knee-chest posture for producing cephalic version of breech presentation are shown. Methods are briefly described and clinical implications are presented. Among 25 women, fewer who performed the maternal knee-chest postural intervention experienced fetal cephalic version than women in the control group who did nothing to influence breech presentation. Despite limitations of the underpowered findings, trends in the data may indicate that parity and gestational age were potentially relevant covariates of version. Postural management is not an evidence-based practice. This exploratory study indicates that maternal knee-chest posture may work opposite to the expected direction, but the small sample size precludes generalizations about efficacy of knee-chest postural management. At least one adequately powered trial that controls for parity and gestational age is needed to determine whether knee-chest postural management results in no effect, a small, or small to moderate clinically significant effect.