早产臀位胎儿应该选择阴道分娩还是剖宫产？
Should a preterm breech go for vaginal delivery or caesarean section.
作者信息
Warke H S, Saraogi R M, Sanjanwalla S M
机构信息
Dr. R.N. Cooper Hospital, Vile Parle, Mumbai, India.
出版信息
J Postgrad Med. 1999 Jan-Mar;45(1):1-4.
This study correlates the mode of breech delivery to the immediate neonatal outcome in preterm breeches. We had 9816 deliveries in the period between 1st January 1994 to 31st August 1996. The incidence of breech deliveries was 3.95% and the incidence of preterm breech deliveries was 1.9%. Totally 112 (69%) patients delivered vaginally and 50 (31%) underwent caesarean section. Between 30-36.6 weeks gestation the incidence of birth asphyxia was higher in the vaginal group. In this group the take home baby rate after vaginal delivery was 81% as compared to 86% in caesarean group. Head entrapment, cord prolapse, respiratory distress syndrome and intraventricular haemorrhage were the various complications seen with vaginal breech delivery.
本研究将臀位分娩方式与早产臀位新生儿的即时结局相关联。在1994年1月1日至1996年8月31日期间，我们共有9816例分娩。臀位分娩的发生率为3.95%，早产臀位分娩的发生率为1.9%。共有112例（69%）患者经阴道分娩，50例（31%）接受剖宫产。在妊娠30 - 36.6周之间，阴道分娩组的出生窒息发生率较高。该组阴道分娩后的带回家婴儿率为81%，而剖宫产组为86%。头部嵌顿、脐带脱垂、呼吸窘迫综合征和脑室内出血是阴道臀位分娩出现的各种并发症。
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