Krause W, Michels W, Kunath H
Zentralbl Gynakol. 1978;100(16):1062-7.
We explored 183 deliveries in breech presentation. The birthweights from this offsprings were 1941 +/- 418,1 g. 101 were primiparae. The perinatal mortality of the underweigth fetuses was 5 more higher when delivered vaginally in relation to delivery by caesarean section. These differences were statistically significant (p less than 0,05). In relation to multiparae 71,8% of the offsprings survived when delivered vaginally, in comparison to 79,2% offsprings from primiparae. The APGAR-scores (1 and 5 min. p. p.) less than or equal to 7 or greater than or equal to 8 showed no significant differences by the offsprings delivered vaginally or by caesarean section. The pHNA was higher in the group of children, delivered by means of caesarean section. The conclusions are discussed.
我们对183例臀位分娩进行了研究。这些新生儿的出生体重为1941±418.1克。其中101例为初产妇。低体重胎儿经阴道分娩时的围产儿死亡率比剖宫产高5倍多。这些差异具有统计学意义(p<0.05)。经阴道分娩的经产妇后代存活率为71.8%,而初产妇后代的存活率为79.2%。经阴道分娩或剖宫产的新生儿1分钟和5分钟的阿氏评分≤7或≥8无显著差异。剖宫产分娩的儿童组pHNA较高。对结论进行了讨论。