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尽管国家卫生研究院(National Institutes of Health,NIH)一致通过的报告推荐减少剖腹产手术,剖腹产率仍在持续增长。即使资料明确证实剖腹产并不比阴道分娩有利,许多作者仍不强调剖腹产指征,主张臀位时常规行剖腹产术。本文对产科学文献进行评论性分析,欲解答臀位时剖腹产是否优于阴道分娩。 Seeds等总结了臀位及头位两种分娩结果,提出与臀位相关的危险有:早产(16～33%)、严重畸形(6～18%)、产伤(正常产危险的13倍)、脐带脱垂(正常产危险的5～20倍)、宫内窒息(正常产危险的3～8倍)、脊柱韧带损伤和脊柱偏斜(21%)、头过度仰伸(5%)、后出儿头受阻(8.8%)。回顾已发表的资料,观察到不纯臀先露围产期
Although the report by the National Institutes of Health (NIH) unanimously recommended a reduction of caesarean section, the rate of caesarean section continues to increase. Although the data clearly confirm that caesarean section is no better than vaginal delivery, many authors still do not emphasize indications for caesarean section, advocating breech routine caesarean section. This article reviews the obstetric literature critically in order to answer whether the cesarean section is superior to vaginal delivery when the breech is present. Seeds and other summarizes the breech and head of the two kinds of delivery results, put forward and breech-related risks are: premature birth (16 to 33%), severe deformities (6 to 18%), birth trauma (normal risk of 13 times) , Umbilical cord prolapse (5 to 20 times the normal risk of production), intrauterine asphyxia (3 to 8 times the normal risk of production), spinal ligament injury and skewness (21%), hyperextension (5% After the child was blocked (8.8%). Review of published information, observed impure buttock perinatal perinatal