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首页> 外文期刊>Journal of obstetrics and gynaecology: the journal of the Institute of Obstetrics and Gynaecology >Vaginal breech delivery and perinatal mortality in twins.
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Vaginal breech delivery and perinatal mortality in twins.

机译：双胞胎的阴道臀位分娩和围产期死亡率。

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摘要

An objective analysis of our clinical experience with the intrapartum management of twin gestations was undertaken in order to determine whether or not routine caesarean section is justified when the first twin presents by the breech. The perinatal mortality rate for breech first twins delivered vaginally was not statistically different from vertex presentations. There was no perinatal loss among babies delivered vaginally by the breech. There was no difference in perinatal outcome for the breech first twin born abdominally or vaginally. Our findings have allayed the fear that non-vertex vaginal delivery of the first or second twin is dangerous. We conclude that in the absence of a uterine scar or a footling presentation, there is no valid reason to prohibit vaginal delivery when either twin presents by the breech.
机译：对我们对双胎妊娠的产程管理的临床经验进行了客观分析，以确定当第一个双胎由臀位出现时常规剖宫产是否合理。阴道分娩的臀先生双胞胎的围产期死亡率与顶点表现无统计学差异。臀位经阴道分娩的婴儿没有围产期丢失。在腹部或阴道出生的第一胎双胞胎的围产期结局无差异。我们的发现减轻了对第一胎或第二胎的非顶点阴道分娩的危险性的担忧。我们得出的结论是，在没有子宫疤痕或没有足部出现的情况下，没有合法的理由禁止任何一个双胞胎在臀位出现时进行阴道分娩。

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