Heilscher K, Müller K, Auerbach M, Eggers H
Zentralbl Gynakol. 1980;102(22):1312-21.
The authors have continued their own analysis of deliveries from breech presentation by studying childhood morbidity of 1,094 single infants who had survived the neonatal period, between 1966 and 1975. Particular attention was given to the impact of selective caesarean section on primiparae, beyond completion of the 36th week of pregnancy. The two reported periods between 1966 and 1971 as well as between 1972 and 1975 were compared for that purpose. -The frequency of caesarean sections went up from 11.6 to 52.2 per cent. Severe parturitional trauma, such as fractures or plexal paralysis, were prevented, but hypoxia was aggravating. No accurate assessment was possible of the full role played by hypoxia and of its importance. A conspicuously high number of children delivered by caesarean section exhibited neurological symptoms, during the first days after birth and even up to the date of leaving hospital. No relationship was found to exist between morbidity and parity. Conclusions with great relevance to practice were drawn from these findings.
作者通过研究1966年至1975年间度过新生儿期的1094名单胎婴儿的儿童期发病率，继续对臀位分娩进行了自己的分析。特别关注了选择性剖宫产对妊娠36周后初产妇的影响。为此，比较了1966年至1971年以及1972年至1975年这两个报告期。剖宫产率从11.6%上升到了52.2%。严重的分娩创伤，如骨折或臂丛神经麻痹得到了预防，但缺氧情况却在加重。无法准确评估缺氧所起的全部作用及其重要性。大量剖宫产分娩的儿童在出生后的头几天甚至直到出院时都表现出神经症状。发病率与产次之间未发现关联。从这些发现中得出了与实践密切相关的结论。
