title: [The value of roentgenography in the lateral projection for the conduct of breech delivery (author's transl)].
abstract: Breech delivery is still attended by considerably higher perinatal mortality and morbidity than is the normal presentation. Additional diagnostic methods are, therefore, needed for the safe conduct of breech deliveries. Roentgenograms in the lateral projection are a simple, but too rarely used, means that, in conjunction with the clinical findings, will provide essential information regarding the obstetric technique to be adopted. The objections to "X-ray diagnosis during pregnancy" are totally unfounded it Guthmann's single exposure technique is used. A retrospective analysis of 221 roentgenograms of breech presentation was correlated with the course of delivery. The results were highly informative in respect of both the pelvic abnormality and, especially, the therapeutic consequences. The X-ray evidence made it possible to reduce perinatal mortality (uncorrected) to 1.8 percent (generally stated to be 10--15 percent) and corrected mortality to nil.
mesh_terms: D001946:Breech Presentation; D005260:Female; D005860:Germany, West; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D007746:Labor Presentation; D008722:Methods; D007744:Obstetric Labor Complications / Q000000981:diagnostic imaging*; D010384:Pelvic Bones / Q000002:abnormalities; D011247:Pregnancy; D011859:Radiography; D012189:Retrospective Studies
vernacular_title: Uber den gravierenden Aussagewert der seitlichen Röntgenaufnahme dür die Leitung der Geburt aus Beckenendlage.