Print Email Facebook Twitter Implementation of external cephalic version in the Netherlands: A retrospective cohort study Title Implementation of external cephalic version in the Netherlands: A retrospective cohort study Author Vlemmix, F. Rosman, A.N. te Hoven, S. van de Berg, S. Fleuren, M.A.H. Rijnders, M.E. Beuckens, A. Mol, B.W.J. Kok, M. Publication year 2014 Abstract Background: External cephalic version (ECV) reduces the rate of elective cesarean sections as a result of breech presentation. Several studies have shown that not all eligible women undergo an ECV attempt. The aim of this study was to evaluate the implementation of ECV in the Netherlands and to explain variation in implementation rates with hospital characteristics and individual factors. Methods: We invited 40 hospitals to participate in this retrospective cohort study. We reviewed hospital charts for all singleton breech deliveries from 36 weeks' gestation and onwards between January 2008 and December 2009. We documented whether an ECV attempt was performed, reasons for not performing an attempt, mode of delivery, and hospital characteristics. Results: We included 4,770 women from 36 hospitals. ECV was performed in 2,443 women (62.2% of eligible women, range 8.2-83.6% in different hospitals). Implementation rates were higher in teaching hospitals, hospitals with special office hours for ECV, larger obstetric units, and hospitals located in larger cities. Suboptimal implementation was mainly caused by health care providers who did not offer ECV. Conclusion: ECV implementation rates vary widely among hospitals. Suboptimal implementation is mostly caused by the care provider not offering the treatment and secondly due to women not opting for the offered attempt. A prerequisite for designing a proper implementation strategy is a detailed understanding of the exact reasons for not offering and not opting for ECV. Subject Behavioural ChangesLS - Life Style CH - Child HealthELSS - Earth, Life and Social SciencesHealthy for LifeHealthHealthy LivingBreechExternal cephalic versionImplementation To reference this document use: http://resolver.tudelft.nl/uuid:18121dd1-0f9f-4d85-aedc-aa2823e190d7 DOI https://doi.org/10.1111/birt.12133 TNO identifier 520075 Source Birth, 41 (4), 323-329 Document type article Files To receive the publication files, please send an e-mail request to TNO Library.