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本文根据我院1985年1月至1986年12月两年臀位资料对分娩方式进行探讨,以便找出恰当的分娩方式,从而降低臀位围产儿死亡率。我们认为臀位剖宫产率的提高不能完全解决围产儿死亡率下降,臀位助产术仍应提高。臀位分娩方式的选择应从母婴双方考虑,权衡利弊,根据孕周,先露类型,胎儿大小,是否破水,头盆关系及孕产史等综合分析。并对剖宫产指征、胎儿畸形等问题提出我们的看法。
This article based on our hospital from January 1985 to December 1986 two years of breech data to discuss the mode of delivery in order to find the appropriate mode of delivery, thereby reducing perinatal mortality in the breech. In our opinion, the increase of cesarean section rate in the breech can not completely solve the problem of the decrease of perinatal mortality and the breech midwifery should be improved. Breech delivery mode of choice should be considered from both mother and child, weighing the pros and cons, according to gestational age, first exposed type, fetal size, whether broken water, the relationship between the first basin and the history of pregnancy and other comprehensive analysis. And cesarean indications, fetal malformations and other issues put forward our views.