Trial reportBJOG : an international journal of obstetrics and gynaecology2007
Evaluation of a decision aid for women with breech presentation at term: a randomised controlled trial [ISRCTN14570598].
Trial report in BJOG : an international journal of obstetrics and gynaecology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024Pooled it
- What are women's experiences of seeking to plan a vaginal breech birth? A systematic review and qualitative meta-synthesis.NIHR open research · 2023Pooled it
- Pooled it
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2017Pooled it
- External cephalic version for breech presentation at term.The Cochrane database of systematic reviews · 2015Pooled it
- Effect of a decision aid on the choice of pregnant women whether to have epidural anesthesia or not during labor.PloS one · 2020Trial
- Evaluating the Use of a Decision Aid for Parents Facing Extremely Premature Delivery: A Randomized Trial.The Journal of pediatrics · 2019Trial
- Trial
- Trial
- The motherhood choices decision aid for women with rheumatoid arthritis increases knowledge and reduces decisional conflict: a randomized controlled trial.BMC musculoskeletal disorders · 2015Trial
- Assisting informed decision making for labour analgesia: a randomised controlled trial of a decision aid for labour analgesia versus a pamphlet.BMC pregnancy and childbirth · 2010Trial
- Do audio-guided decision aids improve outcomes? A randomized controlled trial of an audio-guided decision aid compared with a booklet decision aid for Australian women considering labour analgesia.Health expectations : an international journal of public participation in health care and health policy · 2009Trial
- Melody vs. message: Effects of traditional song and concise social media communications on iodine knowledge, attitudes, behaviors, and biomarkers in pregnant women-A randomized controlled trial.Journal of education and health promotion · 2026Article
- Comparative analysis of maternal and neonatal outcomes in cases of vaginal breech births versus cases of vaginal cephalic births: a retrospective cohort study.Archives of gynecology and obstetrics · 2025Article
- Experience of decision-making for home breech birth: An interpretive description.SSM. Qualitative research in health · 2024Article
- A Decision Aid for Postpartum Adolescent Family Planning: A Quasi-Experimental Study in Tanzania.International journal of environmental research and public health · 2023Article
- Strategies to improve interpersonal communication along the continuum of maternal and newborn care: A scoping review and narrative synthesis.PLOS global public health · 2023Article
- A prospective study using an individualized nomogram to predict the success rate of external cephalic version.Scientific reports · 2022Article
- Decisional Satisfaction, Regret, and Conflict Among Parents of Infants with Neurologic Conditions.The Journal of pediatrics · 2022Article
- Knowledge about benefits and risks of undergoing cataract surgery among cataract patients in Southern China.International ophthalmology · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo evaluate the effectiveness of a decision aid for women with a breech presentation compared with usual care.
designRandomised controlled trial.
settingTertiary obstetric hospitals offering external cephalic version (ECV). POPULATION: Women with a singleton pregnancy were diagnosed antenatally with a breech presentation at term, and were clinically eligible for ECV.
methodsWomen were randomised to either receive a decision aid about the management options for breech presentation in addition to usual care or to receive usual care only with standard counselling from their usual pregnancy care provider. The decision aid comprised a 24-page booklet supplemented by a 30-minute audio-CD and worksheet that was designed for women to take home and review with a partner.
main outcome measuresDecisional conflict (uncertainty), knowledge, anxiety and satisfaction with decision making, and were assessed using self-administered questionnaires.
resultsCompared with usual care, women reviewing the decision aid experienced significantly lower decisional conflict (mean difference -8.92; 95% CI -13.18, -4.66) and increased knowledge (mean difference 8.40; 95% CI 3.10, 13.71), were more likely to feel that they had enough information to make a decision (RR 1.30; 95% CI 1.14, 1.47), had no increase in anxiety and reported greater satisfaction with decision making and overall experience of pregnancy and childbirth. In contrast, 19% of women in the usual care group reported they would have made a different decision about their care.
conclusionsA decision aid is an effective and acceptable tool for pregnant women that provides an important adjunct to standard counselling for the management of breech presentation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.