[Assisted spontaneous delivery vs. Bracht manual aid within the scope of vaginal delivery in breech presentation. Late morbidity in children 5-7 years of age].
For judgment of late morbidity we investigated 52 children after vaginal delivery in breech presentation age from 5 to 7 years. This concerned 27 children after assisted spontaneous labour and 25 children after manual expression according to Bracht. All the children were mature and eutrophic and without neonatal distress after delivery. They were explored with help of an voluminous screening programme, concerning not only the intellectual development but also the psychomotoric capacity. The result was an very high intellectual conduct in frame of the test according to Raven (PR greater than 75). The difference in confrontation to the collective after manual expression according to Bracht was statistical significant (p less than 0.05). Neuropsychologic investigations according to Simernitzkaja demonstrated evident differences in disfavour to children after manual expression according to Bracht concerning the visual memory performance for symbols and letters. Further investigations referring to the graphomotoric accomplishment of one hand or both hands reinforced the opinion; that means the visual motoric totality performance in a narrowed sense or the psychomotoric performance in a enlarged sense was statistical significant poorer pronounced (p less than 0.05). The results underline the claim to estimate more critical the manual expression according to Bracht till now.
Krause
W
W
Klinik und Poliklinik für Geburtshilfe und Gynäkologie des Bereiches Medizin, Martin-Luther-Universität Halle/Wittenberg.
Voigt
C
C
Donczik
J
J
Michels
W
W
Gstöttner
H
H
D001925:Brain Damage, Chronic / Q000175:diagnosis / Q000209:etiology* / Q000523:psychology; D001946:Breech Presentation; D002648:Child; D005113:Extraction, Obstetrical; D005260:Female; D005500:Follow-Up Studies; D007839:Functional Laterality / Q000502:physiology; D006801:Humans; D007361:Intelligence Tests; D019965:Neurocognitive Disorders / Q000175:diagnosis / Q000209:etiology* / Q000523:psychology; D009483:Neuropsychological Tests; D011247:Pregnancy; D012307:Risk Factors; D012917:Social Adjustment; D012931:Social Environment
Assistierte Spontangeburt vs. Manualhilfe nach Bracht im Rahmen der vaginalen Geburt aus Beckenendlage. Spätmorbidität im Alter von 5-7 Jahren.