Woo J S, Chan P H, Ghosh A, Wong V, Ma H K
Aust N Z J Obstet Gynaecol. 1983 Feb;23(1):25-7. doi: 10.1111/j.1479-828x.1983.tb00153.x.
The Caesarean section rate for breech presentation has fallen from 60% in 1978 to 38% in 1980 at the University teaching hospital in Hong Kong. The number of Caesarean sections carried out for the indication of "unfavourable pelvis' in 1980 was approximately half that in 1978. No significant difference in perinatal outcome was noted in the group delivered vaginally in these 2 years. It was concluded that a high Caesarean section rate in term breech presentation may not be justified in modern obstetric practice because of the associated increase in maternal morbidity. Many patients labelled as having an "unfavourable pelvis' can in fact have a safe vaginal breech delivery.
香港大学教学医院臀位分娩的剖宫产率已从1978年的60%降至1980年的38%。1980年因“骨盆条件不佳”这一指征进行的剖宫产数量约为1978年的一半。在这两年中，经阴道分娩的产妇围产期结局无显著差异。得出的结论是，在现代产科实践中，足月臀位分娩的高剖宫产率可能不合理，因为这会导致产妇发病率增加。许多被认定为“骨盆条件不佳”的患者实际上可以安全地经阴道臀位分娩。
