足月臀位按预期分娩方式的结局。

Outcome of term breech by intended mode of delivery.

作者信息

OboroV O, Dare F O, Ogunniyi S O

机构信息

Department of Obstetrics & Gynaecology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.

出版信息

Niger J Med. 2004 Apr-Jun;13(2):106-9.

PMID:15293825

Abstract

BACKGROUND

The optimal mode of delivery for the term breech fetus is undetermined.

METHODS

Over a 10-year period, the outcome of 157 planned caesarean sections and 265 trials of vaginal delivery for the matured, selected, singleton breech presentation were compared.

RESULTS

The perinatal mortality among the planned vaginal group was not statistically different from the planned caesarean group (3.0% vs 0.6%, p = 0.102), so was the incidence of birth asphyxia (9.4% vs 4.5%, p = 0.06), admission into neonatal intensive care unit (13.6 vs 7.6%, p = 0.063) and neonatal birth injury (3.4% vs 0.6%, p = 0.072). The overall maternal morbidity was 28% in the planned caesarean group, and 9% in the planned vaginal group, p = 0.025.

CONCLUSION

Given appropriate selection criteria and management protocol, the outcome from elective caesarean section might not be better than that from planned vaginal delivery.

摘要

背景

足月臀位胎儿的最佳分娩方式尚未确定。

方法

在10年期间，比较了157例计划剖宫产和265例针对成熟、经筛选的单胎臀先露进行阴道分娩试验的结果。

结果

计划阴道分娩组的围产期死亡率与计划剖宫产组无统计学差异（3.0%对0.6%，p = 0.102），出生窒息发生率（9.4%对4.5%，p = 0.06）、入住新生儿重症监护病房的比例（13.6对7.6%，p = 0.063）以及新生儿产伤（3.4%对0.6%，p = 0.072）也是如此。计划剖宫产组的总体母体发病率为28%，计划阴道分娩组为9%，p = 0.025。