Rizner T, Pajntar M
Jugosl Ginekol Opstet. 1976 May-Jun;16(3):251-7.
By analysing all breech presentations handled in the last three years (290 cases), the authors have found that perinatal mortality in such cases was much higher (8%) than the general perinatal mortality (1.8%) in the last years and that this increase mainly related to the perinatal mortality of children weighing less than 2500 g, owing to complications and diseases typical of that kind of children. Out of the children delivered with breech presentation, 40% were either premature babies (22%) or small-for-date babies (18%). The condition of children delivered with breech presentation is 5-6 times worse than in premature babies delivered with full or partial extraction. The authors could not establish if the condition of children with cesarean section was better. The results were obtained when the delivery was induced by using the maniotomy and Syntocinon. The authors point out that the problem of breech presentation lies in prematurity, that an excessive application of cesarean section does not solve the problem, that extractions should be avoided, and that all such deliveries should be managed on the principle of active management of labour.
通过分析过去三年处理的所有臀位分娩病例（290例），作者发现此类病例的围产期死亡率（8%）远高于过去几年的总体围产期死亡率（1.8%），且这种增加主要与体重不足2500克儿童的围产期死亡率有关，这是由于这类儿童典型的并发症和疾病所致。在臀位分娩的儿童中，40%是早产儿（22%）或小于胎龄儿（18%）。臀位分娩儿童的状况比完全或部分牵引分娩的早产儿差5至6倍。作者无法确定剖宫产分娩的儿童状况是否更好。这些结果是在使用人工破膜和缩宫素引产时获得的。作者指出，臀位分娩问题在于早产，过度应用剖宫产并不能解决问题，应避免牵引，所有此类分娩都应按照积极处理产程的原则进行管理。
