Evaluation of a decision aid for women with a breech-presenting baby

ISRCTN ISRCTN14570598
DOI https://doi.org/10.1186/ISRCTN14570598
Secondary identifying numbers 211051
Submission date
13/08/2004
Registration date
21/09/2004
Last edited
18/12/2017
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Pregnancy and Childbirth
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Christine Roberts
Scientific

Centre for Perinatal Health Services Research
QEII Building DO2
University of Sydney
NSW
2006
Australia

Phone +61 (0)2 9351 7738
Email christine.roberts@perinatal.usyd.edu.au

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific titleEvaluation of a decision aid for women with a breech-presenting baby
Study objectivesTo evaluate the effectiveness of a decision aid for women with a breech presentation compared with usual care.
Ethics approval(s)Ethics approval received from:
1. The Central Sydney Area Health Service Ethics Review Committee (ref: X01-0067)
2. The University of Sydney Human Ethics Committee (ref: 3806)
Health condition(s) or problem(s) studiedBreech pregnancy at term
InterventionThe study group will receive the ECV Decision Aid which was developed using the Ottawa Decision Support Framework, including a systematic review of the evidence about the benefits and risks of the options for breech pregnancy (attempt ECV or choose planned caesarean section). It comprises an audiotape with a supplementary booklet and worksheet, a format that can be taken home and discussed with a partner.

The control group will receive standard information on management options for breech pregnancy from their usual pregnancy care provider.

At the next antenatal visit, all women will complete a follow-up questionnaire and those in the study group will review their decision aid worksheet with the research nurse.
Intervention typeOther
Primary outcome measure1. Knowledge
2. Decisional conflict
3. Anxiety
4. Satisfaction with decision-making
Secondary outcome measures1. Numbers of ECVs undergone
2. ECV success rate
3. Rates of pregnancy complications
4. Perinatal outcomes:
4.1. Mode of delivery (vaginal, emergency or planned CS)
4.2. Enrolment to delivery interval
4.3. Gestational age
4.4. Birthweight
4.5. Apgar scores
4.6. Perinatal deaths
4.7. Neonatal Intensive Care Unit admission
4.8. Maternal haemorrhage (antepartum or postpartum)
4.9. Length of stay
Overall study start date01/01/2005
Completion date31/12/2006

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target number of participants184
Key inclusion criteria1. Women with a single breech-presenting baby at 34 weeks gestation or greater
2. Clinically eligible for external cephalic version (ECV)
Key exclusion criteria1. Women presenting with a breech in labour
2. Multiple pregnancies
3. Previous Caesarean Section (CS)
4. Severe foetal anomaly
5. Ruptured membranes
6. Indications for CS anyway
Date of first enrolment01/01/2005
Date of final enrolment31/12/2006

Locations

Countries of recruitment

  • Australia

Study participating centre

Centre for Perinatal Health Services Research
NSW
2006
Australia

Sponsor information

Australian National Health and Medical Research Council (Australia)
Research council

Office of NHMRC (MDP 100)
GPO Box 9848
Canberra, ACT
2601
Australia

Website http://www.nhmrc.gov.au/
ROR logo "ROR" https://ror.org/011kf5r70

Funders

Funder type

Research council

Australian National Health and Medical Research Council (Australia) (ref: 211051)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 20/12/2004 Yes No
Results article results 01/03/2007 Yes No

Editorial Notes

18/12/2017: internal review.