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[Breech birth in a small obstetrics department].
Wiener Medizinische Wochenschrift (1946)
|June 30, 1986
Summary
This study presents breech birth outcomes from a small hospital, showing a high C-section rate but lower rates for premature births. External cephalic version was used to reduce breech presentations.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Medicine
Context:
- Breech presentation births are often reported by large institutions, potentially skewing outcome data.
- This study details the management and outcomes of breech births in a smaller hospital setting (35 beds, 2 gynecologists) between 1980-1985.
Purpose:
- To describe and compare the methods and results of breech birth management in a small ward.
- To evaluate the effectiveness of external cephalic version in reducing breech presentation frequency.
Summary:
- The study analyzed 205 breech births, reporting a 62% cesarean section rate and 29/00 perinatal mortality.
- External cephalic version was attempted in the 37th gestational week to convert breech to vertex presentation.
- Cesarean section rates were significantly lower (11%) for premature births before 32 weeks gestation.
Impact:
- Provides data on breech birth outcomes from a non-specialized setting, offering a different perspective than large clinic reports.
- Highlights the need for potentially higher cesarean section rates in future management of premature breech births.