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KMID : 0376419810050010205
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Chonbuk University Medical Journal
1981 Volume.5 No. 1 p.205 ~ p.211
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Clinical Study on Breech Presentation
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Abstract
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Breech presentation is the most frequent abnormal one, and it causes several comlication during labor such as prematurity, low birth weight, congenital anomaly, increased C-section rate, and ircreased perinatal morbidity.
We studied 411 cases of breech delivery, including 364 cases of single and 48 cases of multiple preg. , at the Kwangju Christian Hospital during five and half years from January 1975 to June 1980.
The result were as follows ;
1. The incidence of breech delivery was 3.39%
2. Most patients were between 25 and 29 years, old. The incidence was increased in women over 40, or whose parity was more then 5.
3. In 74.02% of patients delivery occurred between 3842% weeks of gestation and 22.38% of the nenates less than 2500gm.
4. Regarding the type of breech, tb.e most common was Frank(41.62%), and the others were incomplete(34.32%), unclassified(22.37%), ar.d complete(1.69).
5. The duration of labor averaged 10.69 hours in primipara and 6.42houis in multipara, without significant difference among the types of Breech presentation.
6. The incidence of p_ r. o, m was 16.79% (69 patients), and was lowest in incomplete breech presentation (14. 89).
7. The incidence of cord prolapse was 5.11% (21 patients), and in 85.7% (18 patient) it was incomplete.
8. The mode of delivery were PBE, (50.4%), c/s(24.6%), TBE. (22.8%), and spontaneous.
9. The incidence of c/s for primipara increased slightly year by year except for 1980.
10. Tire incidence of congenital anomaly was 2.7%.
11. The perinatal mortality was 16.7% and the leading cause was prematurity,
12. Apgar score was 7.89 for vaginal delivery and 9.45 for c-section,
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