澳大利亚和新西兰臀位妊娠的管理

The management of breech pregnancies in Australia and New Zealand.

作者信息

Phipps Hala, Roberts Christine L, Nassar Natasha, Raynes-Greenow Camille H, Peat Brian, Hutton Eileen K

机构信息

Department of Obstetrics, King George V Hospital, Sydney, Australia.

出版信息

Aust N Z J Obstet Gynaecol. 2003 Aug;43(4):294-7; discussion 261. doi: 10.1046/j.0004-8666.2003.00078.x.

DOI:10.1046/j.0004-8666.2003.00078.x

PMID:14714714

Abstract

AIM

To assess current obstetric practice in the management of singleton breech pregnancies in Australia and New Zealand.

METHODOLOGY

Survey mailed to all members and fellows of the Royal Australian and New Zealand College of Obstetrics and Gynaecology.

RESULTS

Of 1284 surveyed, 956 (74%) responded of whom 696 (73%) were practicing obstetrics. Prior to the Term Breech Trial (TBT), 72% of obstetricians reported that they routinely offered vaginal breech birth for uncomplicated singleton breech pregnancies. After the TBT publication this rate declined to 20%. External cephalic version (ECV) was usually recommended by 67% of obstetricians and only 53% use tocolytics. Common practices for which safety has yet to be demonstrated included 28% of obstetricians carrying out ECV outside hospitals and 42% carrying out ECV before 37 weeks' gestation.

CONCLUSIONS

While the majority of obstetricians recommend ECV and/or planned Caesarean section for breech presentation, barriers to the promotion of ECV and the use of tocolysis for ECV need to be identified if the rates of this effective manoeuvre are to be increased.

摘要

目的

评估澳大利亚和新西兰单胎臀位妊娠管理中的当前产科实践。

方法

向澳大利亚和新西兰皇家妇产科医师学院的所有成员和研究员邮寄调查问卷。

结果

在1284名被调查者中，956人（74%）回复，其中696人（73%）从事产科工作。在臀位分娩试验（TBT）之前，72%的产科医生报告说，他们通常为无并发症的单胎臀位妊娠提供阴道臀位分娩。TBT发表后，这一比例降至20%。67%的产科医生通常推荐外倒转术（ECV），只有53%的人使用宫缩抑制剂。安全性尚未得到证实的常见做法包括28%的产科医生在医院外进行ECV，42%的产科医生在妊娠37周前进行ECV。