臀先露的产时管理。
The intrapartum management of the breech presentation.
作者信息
Gimovsky M L, Petrie R H
机构信息
USC School of Medicine, Los Angeles.
出版信息
Clin Perinatol. 1989 Dec;16(4):975-86.
In many cases of breech presentation, a trial of labor is practical and safe among carefully selected parturients. Anesthesia and full neonatal support should be available. Described is the protocol in use at several large institutions that maintain a Cesarean rate for breech presentation in the 60 to 70 per cent range which is approximately 25 per cent lower than the national rate. The development of this protocol as well as its highlights in clinical application are described and highlighted in this report.
在许多臀位分娩的病例中，对于经过精心挑选的产妇，进行试产是可行且安全的。应具备麻醉和全面的新生儿支持措施。本文描述了几家大型机构所采用的方案，这些机构的臀位剖宫产率维持在60%至70%的范围内，比全国平均水平低约25%。本报告将描述并重点介绍该方案的制定及其在临床应用中的要点。
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