A six-year prospective study of term breech deliveries utilizing the Zatuchni-Andros Prognostic Scoring Index.
Utilizing the Zatuchni-Andros Breech Scoring Index a prospective study of 290 consecutive term breech deliveries occurring at Evanston Hospital from Jan. 1, 1968, to Jan. 1, 1974, is reported. This paper represents a direct continuation of a retrospective study of 500 consecutive term breech deliveries reported by the authorsin 1970. The results indicate that this breech assessment method is a valid method and it is recommended that patients whose breech score is 3 or less be submitted to immediate cesarean section and, conversely, those with a breech score of 4 or more be allowed to labor with meticulous observation with a high confidence level that successful vaginal delivery will result. Also, cautious stimulation with intravenous oxytocin can be safely undertaken when necessary in patients with a breech score of 4 or more. By employment of the Zatuchni-Andros Breech Scoring Index, the authors submit, fetal mortality and morbidity rates are markedly diminished.
D000293:Adolescent; D000328:Adult; D001034:Apgar Score; D001720:Birth Injuries / Q000453:epidemiology; D001724:Birth Weight; D001946:Breech Presentation; D002585:Cesarean Section; D005260:Female; D005313:Fetal Death / Q000453:epidemiology; D006801:Humans; D007087:Illinois; D007226:Infant Mortality; D007231:Infant, Newborn; D007746:Labor Presentation; D007751:Labor, Induced; D008722:Methods; D007744:Obstetric Labor Complications; D010121:Oxytocin / Q000494:pharmacology; D011247:Pregnancy; D011379:Prognosis; D011446:Prospective Studies; D012151:Resuscitation
D010121:Oxytocin