Kolmorgen K, Seidenschnur G, Rissmann M
Zentralbl Gynakol. 1975;97(23):1426-34.
This report deals with 432 single breech presentation deliveries. Caesarean section frequency was 12,3%. As to the vaginal route of delivery, the simple Bracht manoeuvre had been prefered; in recent times, however, the assisted spontaneous delivery with oxytocin-infusion has been introduced. The corrected perinatal mortality was 4,9%. The rate of prematurely born infants amounted to 14,6%. The corrected perinatal mortality of infants up to 2500 g was 3,3%; of full term infants it was 1,4%. The importance of breech presentation delivery as a high risk delivery is being emphasized. Fetal monitoring and blood gas analysis were required. Indications of caesarean section and suggestions for the management of breech presentations were established. Generally caesarean section of primiparae is not recommended. The diminished rate of prematurely born infants is considered to be of great importance for the decrease of perinatal mortality of breech presentation infants. Intensive pregnancy care, widely used uterotocolysis, and cervix-cerclage in cases of breech presentation are recommended.
本报告涉及432例单臀先露分娩。剖宫产率为12.3%。关于阴道分娩途径，以往首选简单的布拉赫手法；然而，近年来引入了催产素静脉滴注辅助自然分娩。校正围产儿死亡率为4.9%。早产婴儿率为14.6%。体重不足2500g婴儿的校正围产儿死亡率为3.3%；足月儿为1.4%。强调了臀先露分娩作为高危分娩的重要性。需要进行胎儿监测和血气分析。确定了剖宫产指征及臀先露处理建议。一般不建议初产妇行剖宫产。早产婴儿率的降低被认为对降低臀先露婴儿的围产儿死亡率至关重要。建议加强孕期保健，广泛应用宫缩抑制剂，并对臀先露病例行宫颈环扎术。
