Faber-Nijholt R, Huisjes H J, Touwen B C, Fidler V J
Br Med J (Clin Res Ed). 1983 Jan 1;286(6358):9-12. doi: 10.1136/bmj.286.6358.9.
A study was conducted of all children delivered in breech presentation from 1969 to 1977 in the university's department of obstetrics. One-fifth of the deliveries were by caesarean section. Perinatal mortality was high (13.2%) but was due almost exclusively to causes other than the birth itself. The 256 surviving children and their matched controls were neurologically examined at 18 months or at ages varying between 3 and 10 years. The attrition rate was 5.7%, but in most cases data on development were available. Significant differences between the study and control groups existed for only minor neurological dysfunctions. It is concluded that the main danger of breech presentation is in the associated complications of pregnancy and that there is no reason to advocate a higher frequency of abdominal delivery than the 20% found in this study.
对1969年至1977年在该大学妇产科以臀位分娩的所有儿童进行了一项研究。五分之一的分娩是剖宫产。围产期死亡率很高(13.2%),但几乎完全是由出生本身以外的原因导致的。对256名存活儿童及其匹配的对照组在18个月或3至10岁之间的不同年龄段进行了神经学检查。损耗率为5.7%,但在大多数情况下都有发育数据。研究组和对照组之间仅在轻微神经功能障碍方面存在显著差异。得出的结论是,臀位分娩的主要危险在于妊娠相关并发症,而且没有理由主张剖宫产频率高于本研究中发现的20%。