Prügel P, Link M
Zentralbl Gynakol. 1977;99(25):1572-5.
Breech presentation is classed as an abnormality because of the high associated perinatal mortality and morbidity rates and the slightly increased maternal morbidity. A review of 14 years' experience with breech delivery was undertaken to ascertain patterns of care. During this period there were 33 183 births and there were 1271 cases of breech presentation. The method of delivery in the 1271 cases included 91,5 per cent vaginal deliveries and 8,5 per cent cesarean sections. There was an increase to 15,3 per cent during the last 2 years of the review. This review indicates a decline in perinatal mortality rate from 20,3 to 5,4 per cent (unselected). Breech presentation is often associated with premature labor. Premature labor represents the significant clinical problem by contributing to perinatal morbidity and death.
臀位分娩被归类为异常情况,因为其围产期死亡率和发病率较高,且产妇发病率略有增加。我们回顾了14年的臀位分娩经验,以确定护理模式。在此期间,共有33183例分娩,其中臀位分娩1271例。这1271例的分娩方式包括91.5%的阴道分娩和8.5%的剖宫产。在回顾的最后两年中,剖宫产率上升至15.3%。该回顾表明,围产期死亡率(未筛选)从20.3%降至5.4%。臀位分娩常与早产相关。早产是导致围产期发病和死亡的重要临床问题。