Bird C C, McElin T W
Am J Obstet Gynecol. 1975 Feb 15;121(4):551-8. doi: 10.1016/0002-9378(75)90091-5.
Utilizing the Zatuchni-Andros Breech Scoring Index a prospective study of 290 consecutive term breech deliveries occurring at Evanston Hospital from Jan. 1, 1968, to Jan. 1, 1974, is reported. This paper represents a direct continuation of a retrospective study of 500 consecutive term breech deliveries reported by the authorsin 1970. The results indicate that this breech assessment method is a valid method and it is recommended that patients whose breech score is 3 or less be submitted to immediate cesarean section and, conversely, those with a breech score of 4 or more be allowed to labor with meticulous observation with a high confidence level that successful vaginal delivery will result. Also, cautious stimulation with intravenous oxytocin can be safely undertaken when necessary in patients with a breech score of 4 or more. By employment of the Zatuchni-Andros Breech Scoring Index, the authors submit, fetal mortality and morbidity rates are markedly diminished.
本文报告了一项前瞻性研究，该研究利用扎图尔尼-安德罗斯臀位评分指数，对1968年1月1日至1974年1月1日在埃文斯顿医院连续发生的290例足月臀位分娩进行了研究。本文是作者于1970年报告的对500例连续足月臀位分娩的回顾性研究的直接延续。结果表明，这种臀位评估方法是一种有效的方法，建议臀位评分为3分或更低的患者立即进行剖宫产，相反，臀位评分为4分或更高的患者可以在严密观察下分娩，且有很大把握能成功进行阴道分娩。此外，对于臀位评分为4分或更高的患者，必要时可安全地谨慎使用静脉缩宫素进行刺激。作者认为，通过使用扎图尔尼-安德罗斯臀位评分指数，胎儿死亡率和发病率会显著降低。
