[Local guidelines for delivery with breech presentation. A nation-wide questionnaire].
All 30 Danish obstetric departments have answered a questionnaire focusing on local guidelines for delivery of singleton foetuses in breech presentation at term. Two departments recommended caesarean section to all parturients and ten departments to all primiparae. The criteria for recommendation of vaginal delivery varied, one department used pelvimetry, one did not attempt external version, ten did not permit induction of labour. All departments except two always had a specialist in obstetrics present at the delivery, 24 (of 28 departments) an anaesthetist and 20 a paediatrician. The complexity in criteria and organisation reported is not surprising considering different recommendations in the literature, which means that the guidelines are primarily based on traditions and personal experience.
Krebs
L
L
Gynaekologisk-obstetrisk afdeling, Hvidovre Hospital.
Langhoff-Roos
J
J
Weber
T
T
D001946:Breech Presentation; D002983:Clinical Competence; D003718:Denmark; D005260:Female; D017408:Guidelines as Topic; D006801:Humans; D007231:Infant, Newborn; D009775:Obstetrics and Gynecology Department, Hospital / Q000458:organization & administration / Q000592:standards / Q000706:statistics & numerical data; D011247:Pregnancy; D011795:Surveys and Questionnaires