Outcome of Term Breech Delivery in Primigravidae. A Feto Pelvic Breech Index

Autor: Hans Ohlsén
Rok vydání: 1975
Předmět:
Zdroj: Acta Obstetricia et Gynecologica Scandinavica. 54:141-151
ISSN: 1600-0412
0001-6349
DOI: 10.3109/00016347509156746
Popis: Analysis of 340 term breech presentations in primigravidas showed a corrected perinatal mortality of 1.5%; the elective cesarean section rate was 15%. The incidence of complicated labour, defined in the study, was analyzed with regard to different parameters, e.g. X-ray pelvimetry data in all 340 cases. Complicated labour in vaginal deliveries markedly increased with increasing fetal weight (p>0.001) and decreasing pelvic capacity (p>0.001). In each case the fetal weight and smallest pelvimetry data were given score points and the sum of these was called the Feto Pelvic Breech Index, which was correlated to the incidence of complicated labour. By using this index the mortality and morbidity probably can be markedly reduced without the routine use of elective cesarean section. The prognostic methods available to detect feto-pelvic disproportion are discussed.
Databáze: OpenAIRE