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CompletedNCT01948115MEOREVUpdated Sep 14, 2026

Evaluation of the Efficacy and Safety of an Equimolar Mixture of Oxygen and Nitrous Oxide in External Cephalic Version (ECV)

A Phase 3 interventional study of equimolar mixture of oxygen and nitrous oxide or medical air in Breech Presentation in Pregnancy, sponsored by Nantes University Hospital. Completed at 1 site in France. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-14.

Sponsored by Nantes University Hospital · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
18 Years and older
Sex
Female
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Study summary

The variety of breech presentation at term is about 3-4% of all births. Our study aims to assess the value of using an equimolar mixture of oxygen and nitrous oxide. Indeed, in some patients algic or relaxed, the success rate seems more important.

It's a single blind prospective randomized controlled study, comparing success rate of ECV after an equimolar mixture of oxygen and nitrous oxide or placebo (medical air).

We need to include 150 patients (75 in each arm), for a period of 2 years. After ECV, we will give the patient a satisfaction questionnaire. We compare the success rate of ECV as primary outcome.

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Conditions studied

  • Breech Presentation in Pregnancy

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Keywords

  • Breech presentation
  • equimolar mixture of oxygen and nitrous oxide
  • external cephalic version
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In context

Breech Presentation

41 studies on the registry are indexed under Breech Presentation; 10 are open to participants now.

This study's enrollment of 150 is above the median of 119 across 31 interventional studies indexed under Breech Presentation.

Browse Breech Presentation studies →

Lead sponsor

Nantes University Hospital is the lead sponsor of 839 studies on the registry; 195 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

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Inclusion criteria

  • age ≥ 18 years
  • pregnancy at term (≥36 weeks)
  • singleton foetus in breech or transverse presentation
  • acceptance of ECV
  • signature of

Exclusion criteria

Exclusion Criteria:

  • of ECV: placenta praevia, obstacle praevia, multiple pregnancy, foetal death, foetal heart rhythm disorder, lack of amniotic fluid, -positive patient
  • contraindications of equimolar mixture of oxygen and nitrous oxide : patient who require pure oxygen ventilation, disorders of consciousness that impede the cooperation of the patient, pneumothorax, pulmonary embolism, ocular surgery
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

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Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

HIV

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05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
150 participants (actual)

Study arms

  • Placebo comparator
    Medical air

    Drug: equimolar mixture of oxygen and nitrous oxide or medical air

  • Experimental
    equimolar mixture of oxygen and nitrous oxide

    Drug: equimolar mixture of oxygen and nitrous oxide or medical air

Interventions

  • Drugequimolar mixture of oxygen and nitrous oxide or medical air

    We need to include 150 patients for a period of 2 years. Patients will be randomized: 75 patients in each arm: 75 patients in group "placebo" (medical air), 75 patients in group "treatment" (equimolar mixture of oxygen and nitrous oxide). Patients will be single-blind. The ECV be started at least 3 minutes after the start of administration. The maximum time of administration of the gas will be 15 minutes. Just after ECV, we compare success rate of intervention.

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What researchers measure

Primary outcomes

  1. Number of women with success after ECV

    Success rate just after ECV between the two groups (equimolar mixture of oxygen and nitrous oxide group, and medical air group) with ultrasound.

    Time frame: 20 minutes

Secondary outcomes

  1. Pain during ECV

    Just after ECV: pain during ECV with Visual Analogue Scale

    Time frame: 20 minutes

  2. Frequency of nausea/vomiting

    Just after ECV: Frequency of nausea / vomiting between the two groups

    Time frame: 1 hour

  3. Number of interrupted procedures

    Just after ECV: number of interrupted procedures due to pain

    Time frame: 20 minutes

  4. Number of cephalic presentation at birth

    At birth: rate of cephalic presentation between the two groups

    Time frame: 2 month

  5. Number of cesarean at birth

    At birth: cesarean rate between the two groups

    Time frame: 2 month

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Study locations

1 site
  • Nantes University Hospital
    Nantes, 44093, France
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References and documents

Publications

  • Dochez V, Esbelin J, Misbert E, Arthuis C, Drouard A, Badon V, Fenet O, Thubert T, Winer N. Effectiveness of nitrous oxide in external cephalic version on success rate: A randomized controlled trial. Acta Obstet Gynecol Scand. 2020 Mar;99(3):391-398. doi: 10.1111/aogs.13753. Epub 2019 Nov 18. PubMed 31630398 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01948115
Responsible party
Sponsor
First posted
Sep 23, 2013
Start date
Nov 2013
Primary completion
Dec 2015
Completion
Dec 2015
Last update
Sep 14, 2026

Study contacts

Julie ESBELIN, Dr
principal investigator · Nantes University Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Nov 2015. You cannot join it, but the record below documents what was studied.

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