THE IOWA PREMATURE BREECH TRIAL

被引：47
作者：
ZLATNIK, FJ
机构：
[1] Department of Obstetrics and Gynecology, University of Iowa College of Medicine, Iowa City, Iowa
来源：
AMERICAN JOURNAL OF PERINATOLOGY | 1993年 / 10卷 / 01期
关键词：
D O I：
10.1055/s-2007-994704
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
A prospective, randomized clinical trial involving patients in premature labor (28 to 36 weeks' gestation) with breech presentation comparing 18 with immediate cesarean section with 20 with observed labor was undertaken at the University of Iowa from 1978 to 1983. The ''observed labor'' group had more deaths and lower Apgar scores (not statistically significant). Acidosis at delivery was not more common in the observed labor group, but 25% were delivered by cesarean section for fetal distress. The only neonatal deaths of nonanomalous babies, who were acidotic at delivery, occurred in patients who were managed outside of the trial, because delivery occurred soon after admission to the hospital. Congenital malformations accounted for one-third of the neonatal deaths; birth trauma did not occur in the 38 study patients.
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收藏
页码：60 / 63
页数：4
相关论文
共 15 条
  • [1] Goldenberg R.I., Nelson K.G., The premature breech, Am J Obstet Gynecol, 127, pp. 240-244, (1977)
  • [2] Karp L.E., Doney J.R., McCarthy T., Meis P.J., Mall M., The premature breech: Trial of labor or cesarean section?, Obstet Gynecol, 53, pp. 88-92, (1979)
  • [3] Gimovsky M.L., Paul R.H., Singleton breech presentation in labor: Experience in 1980, Am J Obstet Gynecol, 143, pp. 733-739, (1982)
  • [4] Rosen M.G., Chik L., The effect of delivery route on outcome in breech presentation, Am J Obstet Gynecol, 148, pp. 909-913, (1984)
  • [5] Bodmer B., Benjamin A., McLean F.H., Usher R.H., Has use of cesarean section reduced the risks of delivery in the preterm breech presentation?, Am J Obstet Gynecol, 154, pp. 244-250, (1986)
  • [6] Woods J.R., Effects of low-birth-weight breech delivery on neonatal mortality, Obstet Gynecol, 53, pp. 735-740, (1979)
  • [7] Duenhoelter J.H., Wells C.E., Reisch J.S., Santos-Ramos R., Jimenez J.M., A paired controlled study of vaginal and abdominal delivery of the low birth weight breech fetus, Obstet Gynecol, 54, pp. 310-313, (1979)
  • [8] Bowes W.A., Taylor E.S., O'Brien M., Bowes C., Breech delivery: Evaluation of the method of delivery on perinatal results and maternal morbidity, Am J Obstet Gynecol, 135, pp. 965-970, (1979)
  • [9] Cox C., Kendall A.C., Hommers M., Changed prognosis of breech-presenting low birthweight infants, Br J Obstet Gynaecol, 89, pp. 881-886, (1982)
  • [10] Effer S.B., Saigal S., Rand C., Et al., Effect of delivery method on outcomes in the very low-birth weight breech infant: Is the improved survival related to cesarean section or other perinatal care maneuvers?, Am J Obstet Gynecol, 145, pp. 123-128, (1983)
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