Goeschen K
Geburtshilfe Frauenheilkd. 1977 Apr;37(4):311-6.
The question whether the termination of a breech pregnancy by a programmed breech delivery would reduce the fetal risk was investigated. In 71 of 433 singleton breech deliveries (16%) the breech delivery was induced by oxytocin infusion. There were 38 primigravidas and 33 multi-gravidas. The Apgar and pH values showed the same results as in 3904 vertex deliveries with spontaneous onset of labour. The duration of labour was shortened. The incidence of Caesarean Section in programmed breech deliveries was 9.86%. All 71 infants were mature and healthy. There were no perinatal deaths. The results show that the fetal risk in breech deliveries is reduced by programmed breech delivery to the same risk as in vertex deliveries with spontaneous onset of labour.
研究了通过计划性臀位分娩终止臀位妊娠是否会降低胎儿风险。在433例单胎臀位分娩中,有71例(16%)通过静脉滴注缩宫素诱导臀位分娩。其中初产妇38例,经产妇33例。阿氏评分和pH值结果与3904例自然发动分娩的头位分娩相同。产程缩短。计划性臀位分娩的剖宫产率为9.86%。所有71例婴儿均成熟且健康。无围产期死亡。结果表明,计划性臀位分娩可将臀位分娩的胎儿风险降低至与自然发动分娩的头位分娩相同的风险水平。