Muth H, Hannemann H, Kropshofer H
Fortschr Med. 1977 Feb 10;95(6):371-4.
In 581 cases of breech presentation during the years 1966--1974 in 90% of cases delivery was possible vaginally. We prefered the method of Lövset und Veit-Smellie. Casarian section was performed in 9,5% of the cases, the mortality of the newborns was 14%. Without the premature newborns (less than 1000 gr), the cases of intrauterine deaths and not viable children with malformations the mortality was 5,6%. The perinatal mortality of the children or more than 2500 gr was merely 0,69%. The general enlargement of the indication for Caesarian section is not recommended.
在1966年至1974年期间的581例臀位分娩病例中,90%的病例可以经阴道分娩。我们更倾向于Lövset和Veit-Smellie方法。9.5%的病例进行了剖宫产,新生儿死亡率为14%。排除早产儿(体重不足1000克)、宫内死亡病例以及有畸形的不可存活儿童后,死亡率为5.6%。体重超过2500克的儿童围产期死亡率仅为0.69%。不建议普遍扩大剖宫产指征。