Macharey Georg, Ulander Veli-Matti, Heinonen Seppo, Kostev Karel, Nuutila Mika, Väisänen-Tommiska Mervi
Department of Obstetrics and Gynecology, Helsinki University and Helsinki University Central Hospital, Haartmaninkatu 2, 00029, Helsinki, Finland.
Department of Health and Social Affairs, Fresenius University of Applied Sciences, Idstein, Germany.
Arch Gynecol Obstet. 2016 Mar;293(3):549-55. doi: 10.1007/s00404-015-3853-4. Epub 2015 Aug 28.
The aim of this study is to evaluate whether induction of breech delivery at term is feasible and safe for mother and child compared with spontaneous vaginal breech delivery.
A total of 268 singleton term breech deliveries with an attempted vaginal delivery were identified in a single-center retrospective observational study. Out of these, 73 cases had an induction of labor for various medical and obstetric reasons and were compared to 195 spontaneous singleton breech deliveries. The main outcome measure was the mode of delivery. Secondary outcomes included maternal and neonatal morbidity and mortality.
The vaginal delivery rate in the induction group was 64.4% compared with 80% in the spontaneous delivery group. No statistical differences were observed between the two delivery groups regarding neonatal and maternal morbidity and mortality.
The vaginal delivery rate was significantly lower in induced than in spontaneous breech deliveries. The neonatal and maternal morbidity and mortality rates were similar implying that induction in breech delivery is an option and it is time for clinical reappraisal.
本研究旨在评估足月臀位引产与自然阴道臀位分娩相比，对母婴是否可行且安全。
在一项单中心回顾性观察研究中，共确定了268例单胎足月臀位且尝试经阴道分娩的病例。其中，73例因各种医学和产科原因进行了引产，并与195例自然单胎臀位分娩进行比较。主要结局指标是分娩方式。次要结局包括孕产妇和新生儿的发病率及死亡率。
引产组的阴道分娩率为64.4%，自然分娩组为80%。两组在新生儿和孕产妇的发病率及死亡率方面未观察到统计学差异。
引产的臀位分娩阴道分娩率显著低于自然臀位分娩。新生儿和孕产妇的发病率及死亡率相似，这意味着臀位引产是一种选择，且是时候进行临床重新评估了。
