[Breech birth in a small obstetrics department]

More often than not obstetrical results in breech presentation births are published by big clinics and great obstetricians, and thus represent model function for the type of delivery. In the present article methods and results of a small ward (35 beds, 2 gynecologists) in the period between 1980 und 1985 are described and compared with others. The management adheres to the principles practised by Hochuli (Münsterlingen, Switzerland). The abdominal version of the foetus from breech presentation to vertex presentation in the 37 th gestational week is carried out, if possible, as is recommended to reduce the frequency of breech presentation. The results of 205 breech-births are described; the frequency of caesarian sections amounts to 62%, unclarified perinatal mortality to 29 degrees/00, the share of advanced and serious acidosis (ph below 7.10) to 2.4%. In the event of premature births before the 32 nd gestational week the frequency of caesarian sections is very low (11%) and will have to be higher in future.