Marrufo Soda A, López Rosales C
Ginecol Obstet Mex. 1989 Aug;57:229-34.
The management of 73 breech presentation was reviewed, in order to see if cesarean section and adequate maneuvers improve, maternal or fetal outcome. From 33 to 36 weeks of gestational age, were 19.2%; from 37 to 42 weeks, 80.8%. Nulliparous, 53.4%; multiparous, 46.6%. Maternal morbidity was 15%; mortality, of zero. Fetal weight, 2500 to 3500 gm, 69.9%. Apgar scores at five minutes of 7 or more, were 90.5%. Adequate maneuvers during cesarean section with Apgar scores of seven o more, 97%; inadequate maneuvers, 62%. Fetal morbidity was 9.5%; and zero mortality. Congenital abnormalities, 6.8%. In conclusion, cesarean section and adequate maneuvers, improve perinatal outcome, in the breech presentation.
对73例臀位分娩的处理情况进行了回顾，以观察剖宫产及适当的操作是否能改善母儿结局。孕龄33至36周的占19.2%；37至42周的占80.8%。初产妇占53.4%；经产妇占46.6%。产妇发病率为15%；死亡率为零。胎儿体重2500至3500克的占69.9%。5分钟时阿氏评分7分及以上的占90.5%。剖宫产时操作适当且阿氏评分7分及以上的占97%；操作不适当的占62%。胎儿发病率为9.5%；死亡率为零。先天性异常占6.8%。总之，剖宫产及适当的操作可改善臀位分娩的围产期结局。
