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Evaluation of postural therapy using lateral position according to fetal back orientation on breech presentation and breech recurrence (BRLT study): An open-label randomized controlled trial

Clinical Trial Overview

This clinical trial focused on a method called postural therapy for women with breech presentation, where the baby is positioned feet-first in the womb. The study took place in Kawasaki, Japan, and included 200 pregnant women between 28 and 30 weeks of gestation.

Study Method

Participants were divided into two groups: one received postural therapy instructions while the other group did not receive any intervention. The therapy involved lying on the opposite side of the baby’s back to encourage proper positioning.

Key Findings

  • The rate of breech presentation at 37 weeks was 11% in the therapy group compared to 19% in the control group.
  • There was a significant increase in the number of babies turning head-first in the therapy group after two weeks (69% vs. 54%).
  • The therapy group had a lower rate of breech recurrence (2% compared to 10%).

Conclusions

The study showed promising results for using postural therapy to reduce breech presentation and recurrence. While the primary outcome did not reach statistical significance, the secondary outcomes suggest this method could be beneficial.

Practical Recommendations

Based on the trial results, healthcare providers should consider implementing postural therapy for women with breech presentation. This could lead to better outcomes and more successful deliveries.

Next Steps

Further research is needed to confirm these findings and explore the effectiveness of postural therapy in larger populations.

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