Milasinović L, Nikolić L, Kuzmancev O, Vuleta P, Radeka G
Klinika za ginekologiju i akuserstvo, Medicinski fakultet, Novi Sad.
Med Pregl. 1992;45(5-6):235-8.
A prospective study included 106 females and their newborns, 45 of them born in breech presentation and 61 delivered normally. The incidence of prepathologic and pathologic CTG records and meconial amniotic fluid is significant (0.01), more frequent in breech presentation (24.44% and 22.2%) than in normal deliveries (8.20% and 9.84%). Children born in breech presentation have significantly (p < 0.005) lower Apgar score values after the 1st and 5th minute than the control children. Infants born in breech presentation have significantly (p < 0.01) lower pH values (7.25 +/- 0.093) than those delivered normally (7.30 +/- 0.056). The acidosis incidence (pH < 7.20) in the studied group was 26.66% and 3.38% in the control group. In early neonatal period the disease occurred in 35.55% of the breech presentation group and 9.83% of the normal group (p < 0.01). In the control group there was no intracranial hemorrhages and manifest cerebral disfunction--complications most frequently involved in perinatal morbidity of children born in breech presentation (17.77% and 8.88%). One (2.22%) child born in breech presentation died in the early neonatal period.
一项前瞻性研究纳入了106名女性及其新生儿，其中45例为臀位分娩，61例为顺产。病理前期和病理CTG记录以及羊水胎粪污染的发生率具有显著性差异（0.01），臀位分娩的发生率（分别为24.44%和22.2%）高于顺产（分别为8.20%和9.84%）。臀位分娩的新生儿在第1分钟和第5分钟后的阿氏评分显著低于对照组（p < 0.005）。臀位分娩的婴儿pH值（7.25 +/- 0.093）显著低于顺产婴儿（7.30 +/- 0.056）（p < 0.01）。研究组酸中毒发生率（pH < 7.20）为26.66%，对照组为3.38%。在新生儿早期，臀位分娩组疾病发生率为35.55%，正常组为9.83%（p < 0.01）。对照组无颅内出血和明显的脑功能障碍，而这些并发症是臀位分娩新生儿围产期发病最常见的情况（分别为17.77%和8.88%）。一名臀位分娩的婴儿（2.22%）在新生儿早期死亡。
