Sande H A
Familie- og Barnklinikken, Ullevål sykehus, Oslo.
Tidsskr Nor Laegeforen. 1993 Oct 20;113(25):3153-4.
External cephalic version of the breech presentation has long traditions. Earlier this was practised to improve the baby's prognosis. Today most breech presentations are delivered by Caesarean section, and external cephalic version of the breech presentation is done to reduce the number of Caesarean sections. External cephalic version of breech presentation reduces the total rate of Caesarean sections by 1-2%. If the breech deliveries are carefully selected at term, they become comparable with cephalic presentation, both in terms of mortality and morbidity. Although the complications associated with external cephalic version of the breech presentation are considered minimal they cannot be ruled out. Therefore systematic external cephalic version of the breech presentation should not be encouraged.
臀位外倒转术由来已久。早期进行此操作是为了改善胎儿预后。如今,大多数臀位分娩采用剖宫产,而臀位外倒转术的目的是减少剖宫产的数量。臀位外倒转术可使剖宫产总率降低1% - 2%。如果在足月时仔细挑选臀位分娩病例,其在死亡率和发病率方面与头位分娩相当。尽管与臀位外倒转术相关的并发症被认为极少,但也不能排除。因此,不应鼓励常规进行臀位外倒转术。