التفاصيل البيبلوغرافية
| العنوان: |
A RETROSPECTIVE INVESTIGATION OF PRETERM BIRTH IN BREECH PRESENTATION DURING THE PERIOD OF 26 YEARS. |
| العنوان البديل: |
RETROSPEKTIVNO ISTRAŽIVANJE PRIJEVREMENIH POROĐAJA U STAVU ZATKOM U RAZDOBLJU OD 26 GODINA. |
| المؤلفون: |
Starčević, Vito1 vito.starcevic@gmail.com, Ivanišević, Marina1, Herman, Mislav1, Starčević, Tea1, Juras, Josip1, Tuškan, Ksenija1, Đelmiš, Josip1, Sokol-Karadjole, Vesna1, Magdić, Mihaela1, Horvatiček, Marina2 |
| المصدر: |
Gynaecologia et Perinatologia. Jan-Jun2018, Vol. 27 Issue 1/2, p9-13. 5p. |
| مصطلحات موضوعية: |
*BREECH delivery, *PREMATURE labor, *CESAREAN section, *CHILDBIRTH, *EARLY death, *INTRAVENTRICULAR hemorrhage, *ASPHYXIA neonatorum |
| الملخص (بالإنجليزية): |
Breech presentation is childbirth, during which may be expected higher perinatal mortality and morbidity when compared to cephalic presentation. The breech presentation complicates 20-35 % of preterm delivery. This group of neonates is exposed to hypoxic damages, as well as birth injuries with consequent intracranial hemorrhages. The mortality rate of preterm infants is much higher than the mortality of full-term infants. A higher risk of perinatal asphyxia and birth trauma makes obstetricians decide for operative completion by Cesarean section. Research methods. We conducted a retrospective study and analyzed and compared perinatal categories: perinatal mortality and morbidity, the mode of pregnancy completion, and the incidence of Cesarean section and vaginal delivery in six periods. Patients and research methods. The studied material was collected for the period of the past 26 years from the archives in the Department of Obstetrics and Gynecology. All singleton pregnancies with the breech presentation were analyzed, delivered either vaginally or by Cesarean section. Results. The incidence of Cesarean sections in preterm births with breech presentation gradually grows through the studied period. Obstetricians were increasingly opting for a Cesarean section in the situation of preterm birth and breech presentation, to eliminate traumatic and hypoxic damage, and thus tried to reduce perinatal mortality. The perinatal mortality rate of premature fetuses in a breech presentation who were delivered vaginally, according to numerous authors was statistically significantly higher compared to the perinatal mortality of premature neonates who were delivered by Cesarean section. Conclusion. The research emphasizes the importance of the completion of the premature birth of a child in the breech presentation by Cesarean section if the child is alive and there are no identifiable development defects. [ABSTRACT FROM AUTHOR] |
| Abstract (Croatian): |
Stav zatkom predstavlja prezentaciju čeda, kod koje možemo očekivati veći perinatalni mortalitet i morbiditet u odnosu na stav glavicom. Učestalost prijevremenih porođaja u stavu zatkom kreće se od 20-35%. Tako prijevremeno porođena djeca izloženija su hipoksičnim oštećenjima, kao i traumatskim ozljedama s posljedičnim intrakranijalnim hemoragijama. Smrtnost nedonoščadi je višestruko veća od smrtnosti donošene djece. Veći rizik od perinatalne asfiksije i porođajne traume češće rezultira s većom učestalosti operativnog dovršenja porođaja carskim rezom, za koji se češće odlučuju porodničari. Metode istraživanja. Provedena je retrospektivna studija kroz šest velikih razdoblja, gdje je uspoređen perinatalni mortalitet i morbiditet, način dovršenja trudnoće, kao i učestalost carskih rezova i vaginalnih porođaja. Ispitanice i način istraživanja provedenog tijekom 26 godina bile su sve jednoplodne trudnoće s djetetom u stavu zatkom, završene carskim rezom. Rezultati. Učestalost carskih rezova kod prijevremenih porođaja zatkom postupno raste kroz istraživana razdoblja. Porodničari se sve češće odlučuju za carski rez kod prijevremenih porođaja djece u stavu zatkom, kako bi eliminirali traumatsko i hipoksično oštećenje, te tako pokušali smanjiti perinatalni mortalitet. Perinatalni mortalitet vaginalnih porođaja prijevremeno porođene djece u stavu zatkom, prema brojnim autorima je statistički znakovito veći, od perinatalnog mortaliteta prijevremeno porođene djece carskim rezom. Zaključak. Provedeno istraživanje nas upućuje na važnost dovršenja prijevremenog porođaja djeteta u stavu zatkom carskim rezom, ako je dijete živo i nema prepoznatljive mane razvitka. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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