Troszyński M, Leibschag J, Wiaczek M, Dubrawski W
Klinika Połoznictwa i Ginekologii, Instytut Matki i Dziecka, Warszawie.
Probl Med Wieku Rozwoj. 1990;16:117-24.
An analysis of 130 breech deliveries was carried out. The material was divided into two groups: vaginal delivery and delivery by cesarean section. In both groups maternal age, parity, weeks of pregnancy, newborn weight. Apgar score in the 1st and the 5th minute and perinatal mortality rate of newborns were compared. Frequency of breech presentation in our material was about 4.1%. Cesarean section was performed in 66.2% of cases being 22.7% of all cesarean sections performed in this period. In primiparae (58.5% of breech presentation) cesarean sections were performed in 75% and in 93.3% of the primiparae in their 30-ties. Perinatal mortality rate of the newborns in all breech deliveries was 15.4%, in vaginal delivery group--22.7% and in cesarean section group--11.8%. Total perinatal mortality rate in this period was 10.4% of totally 3424 deliveries. We have not found any fetal injuries caused by the mode of delivery.
对130例臀位分娩进行了分析。材料分为两组:阴道分娩和剖宫产。比较了两组产妇的年龄、产次、孕周、新生儿体重、第1分钟和第5分钟的阿氏评分以及新生儿围产期死亡率。我们材料中臀位分娩的发生率约为4.1%。66.2%的病例进行了剖宫产,占该时期所有剖宫产的22.7%。初产妇(占臀位分娩的58.5%)中,75%进行了剖宫产,30多岁的初产妇中这一比例为93.3%。所有臀位分娩新生儿的围产期死亡率为15.4%,阴道分娩组为22.7%,剖宫产组为11.8%。该时期总的围产期死亡率为3424例分娩总数的10.4%。我们未发现因分娩方式导致的任何胎儿损伤。