[Breech presentation--information, anxiety and expectations of established obstetricians and pregnant patients. 1: Results of a survey of established obstetricians].
In a anonymous questionnaire we studied the advise of gynecologists to breech presented pregnant women in the area around Nürnberg-Fürth-Erlangen in Germany. 61.5% of gynecologists participated the study, 71.2% of them (n = 57) prefer primary caesarean section in primapara. 13.8% (n = 11) of the questioned doctors favour a vaginally delivery procedure. Advise to multiparas for primarous caesarean section was given in 8.8% (n = 7) and for vaginally delivery mode in 80.0% (n = 64). Reasons for caesarean section was a decreased fetal delivery risk (90%, n = 72) and the possibility of prospective delivery planing (26.3%, n = 21). Other reasons were various obstetrical risk factors and forensic aspects. Benefits of vaginally delivery mode in multiparas was a low fetal delivery risk (72.5%, n = 58) and a low maternal morbidity (66.3%, n = 53). Results of actual studies are suggesting, that there is a controlled fetal risk of vaginally delivery mode in breech presented labour. According to these studies a change of labour procedure is essential.
Krause
M
M
Frauenklinik II, Klinikum Nürnberg Süd.
Fischer
T
T
Feige
A
A
D001291:Attitude of Health Personnel; D001946:Breech Presentation; D002585:Cesarean Section; D003675:Defensive Medicine; D005113:Extraction, Obstetrical; D005260:Female; D005858:Germany; D006801:Humans; D007231:Infant, Newborn; D010298:Parity; D010353:Patient Education as Topic; D011247:Pregnancy; D011256:Pregnancy Outcome; D012307:Risk Factors
Beckenendlage--Informations-, Angst- und Erwartungsmuster von niedergelassenen Frauenärzten und Schwangeren. Teil 1: Ergebnisse einer Umfrage unter niedergelassenen Frauenärzten.