Department of Obstetrics and Gynecology, Paracelsus Medical University, Salzburg, Austria.
J Perinat Med. 2011 Jul;39(4):385-90. doi: 10.1515/jpm.2011.044.
To show that the fetal outcome in vaginal deliveries (VD) of breech presentation in a setting of a senior obstetrician stand-by system is as good as in planned cesarean sections.
This observational prospective intent-to-treat study (n=211 singleton breech presentation pregnancies of ≥35 weeks of gestation) compared two groups of breech deliveries: planned cesarean sections (PCS, n=126) and intended VD (IVD, n=85) resulting in vaginal deliveries (VD, n=46) as well as secondary cesarean sections (SCS, n=39). Women's informed choice as well as strict pre-selection criteria for vaginally intended breech presentation deliveries was followed.
Fetal outcome of vaginal breech deliveries and of primary as well as SCS (45.9% of IVD) was comparable in terms of cord blood pH, base excess, Apgar score, fetal trauma, and transfer to neonatal intensive care unit.
Vaginal breech delivery is a safe option in a stand-by system of senior obstetricians with controlled decision-making before labor.
展示在有资深产科医生待命的情况下，臀位阴道分娩（VD）的胎儿结局与计划性剖宫产（PCS）一样好。
这是一项观察性、前瞻性意向治疗研究（n=211 例≥35 周妊娠的单胎臀位分娩），比较了两组臀位分娩：计划性剖宫产（PCS，n=126）和意向性 VD（IVD，n=85），最终阴道分娩（VD，n=46）以及继发性剖宫产（SCS，n=39）。遵循了产妇知情选择以及严格的阴道分娩意向臀位分娩的预筛选标准。
阴道分娩臀位分娩以及原发性和 SCS（IVD 的 45.9%）的胎儿结局在脐血 pH 值、碱剩余、阿普加评分、胎儿创伤以及转入新生儿重症监护病房方面相似。
在资深产科医生待命的情况下，阴道分娩臀位是一种安全的选择，在分娩前可以进行控制决策。
