Efthimiadis J
Geburtshilfe Frauenheilkd. 1976 Aug;36(8):661-7.
A critical review of 535 breech deliveries over 15 years is presented and compared to the present trend to deliver all primigravida breech presentations by Caesarean Section. Management of the labour and delivery in view of a vaginal delivery was started in 84% of the cases. The Caesarean Section rate was 16%. The prenatal mortality compared well to that reported in the literature. The relatively high total morbidity of 3.2% showed the increased risk for the infant of the primigravida (1.9%) and of the multigravida (1.7%). 1.5% of the infants were transferred to the pediatric department because of birth trauma. All children with birth trauma were delivered prior to the increase of the Caesarean Section rate from 9.2% to 21.2%. Since 1969 the fetal morbidity was 0% for breech deliveries.
本文对15年间535例臀位分娩进行了批判性回顾，并与目前所有初产妇臀位均行剖宫产的趋势进行了比较。84%的病例开始考虑经阴道分娩进行产程管理。剖宫产率为16%。产前死亡率与文献报道相当。相对较高的总发病率为3.2%，显示初产妇（1.9%）和经产妇（1.7%）的婴儿风险增加。1.5%的婴儿因出生创伤被转入儿科。所有有出生创伤的儿童均在剖宫产率从9.2%升至21.2%之前分娩。自1969年以来，臀位分娩的胎儿发病率为0%。
