Breech presentation fetus during pregnancy.
Breech fetus doctor is not always sure of a favorable outcome for the fetus. During childbirth may occur many complications that lead to high perinatal mortality.
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Therefore, the proposal SL Keilin (1948), breech delivery of the fetus is considered pathological is increasingly recognized.
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Even with no further complications during delivery to the fetus during the period of exile threatened asphyxia due to compression of the umbilical cord and the violation of the utero-placental circulation after the birth of the body by retraction of the uterine muscle.
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Stillbirths at birth with a breech fetus are very high. The highest mortality rate observed in the breech presentation, in which the fetus was removed for pelvic end.
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Favourable results in breach of the fetus are possible only in uncomplicated births. However, as already stated, breech presentation fetus is often accompanied by various complications during pregnancy and childbirth, which in combination with live birth vaginally becomes questionable and raises the question of caesarean section.
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Every year, many obstetricians are increasingly choosing caesarean delivery for breech fetus to prevent stillbirths in these genera. In one of the clinics in 1934-1936 only 5% of the breech presentation was made by abdominal delivery, and in 1946-1948. - Already 12.3%, and perinatal mortality fell by 7% to 2% and was absent for caesarean section.
In 142 cases (11.4%) the presence of breech influenced the choice of cesarean delivery as a component of the combined evidence.
. Additional aggravate the prognosis of labor in the case of vaginal delivery were narrowing of the pelvis, elderly primiparous, weighed down by obstetrical history and some others.
Breech presentation fetus for medical research, were in 183 of 1242 women who underwent surgical delivery. However, 41 women had cesarean section performed for other indications, irrespective of the presentation. These include placenta previa, with profuse bleeding, the failure of uterine scar after cesarean section scar deformation of the cervix and vagina, cardiac decomposition due to mitral stenosis, holes, etc.