Molkenboer Jan F M, Bouckaert Peter X J M, Roumen Frans J M E
Atrium Medical Centre, Heerlen, The Netherlands.
BJOG. 2003 Oct;110(10):948-51.
The effect of publication of the results of the Term Breech Trial in October 2000 on the mode of delivery of babies in breech presentation in the Netherlands was subject of this study. The results showed an immediate amplifying impact on top of the already existing trend of rising caesarean section rates for term singleton breech presentations. The willingness of obstetricians in the Netherlands to adopt the conclusions of the Term Breech Trial so quickly originate from scientific, legal, psychological and emotional sources. The same amplifying impact applied for all non-term breeches and breeches from multiple gestations, but not for babies in other than breech presentation.
2000年10月足月臀位产试验结果的公布对荷兰臀位分娩婴儿的分娩方式产生的影响是本研究的主题。结果显示,在足月单胎臀位剖宫产率本就呈上升趋势的基础上,该试验结果产生了立竿见影的放大效应。荷兰产科医生如此迅速地接受足月臀位产试验结论的意愿源于科学、法律、心理和情感等方面的因素。同样的放大效应适用于所有非足月臀位产和多胎妊娠中的臀位产,但不适用于非臀位的婴儿。