Outcome of Term Breech Delivery in Primigravidae. A Feto Pelvic Breech Index
Autor: | Hans Ohlsén |
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Rok vydání: | 1975 |
Předmět: |
Pediatrics
medicine.medical_specialty Index (economics) Gestational Age Labor Presentation Breech delivery Pregnancy Breech presentation Infant Mortality Birth Weight Humans Medicine Breech Presentation reproductive and urinary physiology Labor Obstetric Elective cesarean section Cesarean Section business.industry Perinatal mortality Obstetrics Incidence (epidemiology) Obstetrics and Gynecology General Medicine Pelvimetry Fetal weight Prognosis female genital diseases and pregnancy complications Female business |
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 |
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