Breech Delivery, with Special Reference to the Primigravida *Read at a meeting of the Edinburgh Obstetrical Society on 8th March 1939.
نویسنده
چکیده
In approximately 2*5 per cent, of labours at term the child is found to be presenting by the breech, and in some 40 per cent, of these the patient is a primigravida. So far as the mother is concerned, there is only a slightly increased risk to life as compared with vertex presentations, such an increase resulting from a more prolonged labour and the possible necessity for operative interference. The prognosis for the child is, however, considerably worse, and its chances may be further impaired by some coexistent complication. In this communication it is proposed to limit discussion to the uncomplicated breech delivery in the primigravida. What precisely constitutes an uncomplicated breech delivery is rather a vexed question, but the term is generally understood to imply cases uncomplicated by such conditions as prematurity, antepartum haemorrhage, prolapse of the cord, foetal monstrosity, and contracted pelvis, etc. In several hospital reports, however, one finds the inclusion of " extension of the legs " as a complication. This is surely both unjustified and incorrect, as the frank breech might well be considered to be the usual and hence normal type of breech presentation in the primigravida, and in more closely simulating the foetal head it is a better dilator of the soft parts, and during delivery need not give rise to increased difficulty. Gibberd 1 and Moir 2 have both made unfavourable comment on the inclusion of
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