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KMID : 0378019660090050085
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New Medical Journal
1966 Volume.9 No. 5 p.85 ~ p.127
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Breech Presentation
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金駿杰/Kim, Z.G.
金鍾壽/鄭鍾鎭/郭顯模/Chun, J.S./Chung, J.J./Kwak, H.M.
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Abstract
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Breech presentation is the most grequent atypical presentation except for posterior position of a cephalic presentation, and the increased fetal mortally, fetal morbidity and maternal complications associated with breech presentation persist as g major obstetrical problem. Many reviews of breech presentation have been published in the past, and undoubtedly, further consideration will be given to its hazards in the future. It is generally agreed that the presence of fetopelvic disproportion and prematurity are the major hazards in breech presentation, and fetopelvic disproportion would be most commonly encountered with the more mature infant. However it is, particularly difficult to compare statistics as reported in studies of patients with breech presen cation because it is rare to find two authors who use the same standards for either the minimum weight of the babies reported or the maternal and fetal complication used in making corrections for infants. The -material consists of the 121 breech presentstions delivered at Yonsei University Hospitsl from March 19. 59 to August 1965. Those which occurred in multiple pregnancy and less than 1000 gm of baby´s weight are excluded. Excluding these patients from the total of 3655 gives 3343 as the basis for statistical evaluation.
1. There were 121 cases of breech presentations in 3342 deliveries during the period March 1959-August 1965.
2. The prematurity incidence was 121 26.4 percent which was more than twice the incidence for the clinic.
3. There were 20.7 percent early rupture membranes among antepartum cemplication which is a relatively high incidence.
4. According to our experience, X-ray pelvimetry with careful clinical measurement of the pelvis should be done in all breech cases of primigravid women and a suspected difficult delivery based on her past obstetrical history.
5. Cesarean section rate was 17.4 percent as indicating Contracted pelvis 8 cases Previous C-section 7 cases Elderly primigravida 3 cases Prolapsed cord 1 case Placenta previa 1case Incoordina.ted uterine contraction 1 case.
6. Pitocin stimulation was tried in 5 cases, of uterine inertia without perinatal loss.
7. There was no maternal mortality.
8. Our uncorrected perinatal mortality was 16.5 percent and corrected fetal loss was 4.92 percent. The leading cause of death was prematurity.
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