[Do any indications remain for vaginal delivery in breech presentation?].
The choice of the mode of delivery in breech presentations is still controversed, particularly in the primipara and in premature delivery. From the study of 277 cases of single pregnancy with a live baby in podalic position the authors analyze the indications for the mode of delivery as well as the foetal results. After 37 complete weeks of amenorrhea, labour was induced in 126 patients out of 248. 96 had a vaginal delivery. The labour comprises a certain number of risks, but gives the same results as the caesarian section. The primiparity does not seem to be a risk factor. Before 37 complete weeks of amenorrhoea, 7 babies were born by vaginal delivery and 22 by caesarian section. In case of foetal distress, the caesarian section decided too late does not avoid an unfavourable evolution, particularly in the very premature baby. Therefore, the indications for caesarian sections must be extremely large and decided without delay particularly before 32 complete weeks of amenorrhea.
Audra
P
P
Service de Gynécologie-Obstétrique, Hôpital Edouard-Herriot, Lyon.
Putet
G
G
D001946:Breech Presentation; D002585:Cesarean Section; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D005316:Fetal Distress / Q000517:prevention & control; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D011247:Pregnancy; D012189:Retrospective Studies; D014219:Trial of Labor; D014621:Vagina
Reste-t-il des indications de voie basse dans la présentation du siège?