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Discourse on the Mother's Decision Regarding the Mode of Delivery in Cases of Breech Presentation

Recruitingn/aAges 18 Years - anyAllUniversity Hospital, Strasbourg, France
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In plain words

What the trial is, and whether it could suit you

Breech presentation is a common occurrence in routine practice, occurring in 3-4% of all term pregnancies. Despite its frequency, breech presentation at term remains a subject of considerable controversy within the medical community. This results in differing management approaches depending on the country, the center, and the practitioner. Indeed, from a pathophysiological perspective, during a breech delivery, the fetal head is the last segment to descend into the maternal pelvis. This is the largest fetal segment in terms of volume. Furthermore, the fetal head cannot accommodate itself to the maternal pelvis through plastic deformation. This presentation can therefore lead to specific complications that may be life-threatening for the unborn child. Despite its frequency, breech presentation at term remains a subject of considerable controversy within the medical community regarding th

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📋 Eligibility rules (as published)
Inclusion Criteria: Regarding practitioners: * Doctor with a medical degree (Junior Doctor, Clinical Assistant, Hospital Practitioner, University Professor of Obstetrics), with a primary focus on Obstetrics * Practicing in a University Hospital in the Grand Est region (Besançon, Reims, Strasbourg, Nancy) * Agreeing to complete the self-administered questionnaire anonymously. Regarding patients: * Patient of legal age (≥ 18 years) * Having given birth in 2024 in a university hospital in the Grand-Est region (Besançon, Reims, Strasbourg, Nancy) * Delivery of a breech fetus \> 37 weeks of gestation * Agreeing to answer the self-administered questionnaire anonymously. Exclusion Criteria: Regarding practitioners: Other primary activity than obstetrics Regarding patients: * Minor patient at the time of delivery * Patient who had a cesarean section due to a uterine scar and maternal desire. * Patients with a history of uterine scarring or the presence of obstruction previa were also excluded due to the impossibility of authorizing vaginal delivery, regardless of fetal presentation.
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What it tests

  • To complete a questionnaire
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Where

1 site
Service de Gynécologique et d'Obstétrique - CHU de Strasbourg - France
Strasbourg, France
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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