Gimovsky M L, Petrie R H
J Reprod Med. 1982 Aug;27(8):451-4.
Many factors contribute to the poor perinatal performance seen with the low-birth weight (LBW) breech infant. The factors responsible may be classified as those over which the obstetrician can and cannot exert control. Elective cesarean section is being utilized increasingly in an attempt to improve outcome; however, several authorities have questioned the validity of such intervention until alternative types of management have been evaluated. One possible alternative is to use an intensive intrapartum management scheme with a demonstrated efficacy in term breech management. The authors report retrospectively on the outcome seen among LBW breech infants delivered vaginally with such a protocol. The distribution of untoward perinatal events between the protocol and nonprotocol groups was unaffected by the application of the principles shown to be effective with mature breech infants.
许多因素导致低出生体重（LBW）臀位婴儿围产期表现不佳。相关因素可分为产科医生能够控制和无法控制的两类。为了改善结局，选择性剖宫产的使用越来越多；然而，在评估其他类型的管理方法之前，一些权威人士对这种干预措施的有效性提出了质疑。一种可能的替代方法是采用一种在足月臀位管理中已证明有效的强化产时管理方案。作者回顾性报告了采用该方案经阴道分娩的低出生体重臀位婴儿的结局。该方案组和非方案组之间不良围产期事件的分布不受应用于成熟臀位婴儿已证明有效的原则的影响。
