| Autor: |
Flanagan TA, Mulchahey KM, Korenbrot CC, Green JR, Laros RK Jr |
| Jazyk: |
angličtina |
| Zdroj: |
American journal of obstetrics and gynecology [Am J Obstet Gynecol] 1987 Jun; Vol. 156 (6), pp. 1492-502. |
| DOI: |
10.1016/0002-9378(87)90022-6 |
| Abstrakt: |
The management of 716 cases of singleton breech presentation occurring at 37 or more weeks of gestational age is reviewed. Beginning in 1980 a trial of external version was offered if the breech was identified before active labor. Only 433 (61%) breeches were identified before active labor. Of these, 171 (44%) underwent an attempt at external version and 83 (48%) were successful. The 623 cases remaining as breech presentation were stratified into three groups: cesarean section without labor (379), trial of labor with cesarean section (69), and trial of labor with vaginal delivery (175). The criteria for allowing a trial of labor are detailed. Careful review of maternal and fetal variables indicates that a trial of labor in selected patients will result in vaginal delivery in 72% and that this can be achieved without an increase in fetal or maternal mortality or morbidity. Furthermore, successful external version followed by a trial of labor in selected cases is highly cost-effective. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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