These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: [Vertex presentation in the morning--breech presentation at noon: a nursery tale? A prospective study of 1,019 patients].
    Author: Göttlicher S, Madjaric J.
    Journal: Geburtshilfe Frauenheilkd; 1989 Apr; 49(4):363-6. PubMed ID: 2737431.
    Abstract:
    The percentage of breech presentations in the course of the 32nd to 40th week of gestation is 5.1%; vertex presentations were found in 94.9%. In the primiparae we found 6.0% of breech presentations against 4.3% in the multiparae. Sub partu there were breech presentations in 4.5% (in primiparae more often than in multiparae). A spontaneous change from vertex- into breech presentation from the 32nd to 40th week of gestation was evident in 4 cases = 0.41% [in the primiparae (n = 484) in one case = 0.21%; in the multiparae (n = 531) in 3 cases = 0.59%]. A change from breech presentation (n = 52) into vertex presentation occurred in the same period in 9 cases = 17.31% [in primiparae (n = 29) in 10.34%, in multiparae (n = 23) in 26.09%; the difference is statistically not significant!] All cases of change from vertex- into breech presentation were seen until the 35th week of pregnancy, not later, whereby the cases of change from breech- into vertex presentation happend until the 36th week of pregnancy (except one "late" change in the 39th week in a multipara), in the primiparae until the 36th week, in the multiparae until the 35th week of gestation. Thus, apart from rare exceptions, the definite birth-presentation of the fetus has taken place about the 35th/36th week of gestation. Late changes of position of the fetus are not likely. A diagram with the exact percentages and likelihood of changes of the fetus presentation for primi- and multiparae between 32nd and 40th week of gestation is given.
    [Abstract] [Full Text] [Related] [New Search]