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  • Title: [Perinatal mortality of newborns with birth weights above 2,500 g and delivered from breech presentation (author's transl)].
    Author: Kouam L, Miller EC.
    Journal: Zentralbl Gynakol; 1980; 102(23):1375-82. PubMed ID: 7223156.
    Abstract:
    An account is given of the problem of delivery from breech presentation, with reference being made to an analysis of childbirths over the last 14 years (1965 through 1978). -- Since the rate of premature births from breech presentation was found to be much higher than that generally recordable from vertex presentation, the gap being roughly by factor 4, reference in this paper has been restricted to children with birth weights above 2,500 g, defined as "mature" in a WHO recommendation, with the view to establish comparability between the data given in this paper, on the one, hand and the birth record on the basis of vertex presentation, on the other. -- Evidence is provided, by the example of 604 newborns delivered from breech presentation, that their intrapartum and postpartum mortality -- generally referred to as "purified" perinatal mortality, does not differ from figures quoted for comparable cases of vertex presentation. -- Another point made is that the vaginal route of delivery, except for complete extraction, is by no means necessarily inferior to caesarean section. Reduction of perinatal mortality, including morbidity, is considered to depend primarily on adequate labour monitoring. -- Taking into due consideration the considerable increase in maternal mortality and morbidity, the authors feel that the indications followed for termination of labour by caesarean section should be identical with those applicable to vertex presentation. -- The conclusion is drawn that delivery from breech presentation is a problem of premature birth rather than of positional abnormality.
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