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在现代产科实践中足月臀位分娩的处理仍有争议。曾有报导臀位分娩放宽剖腹产,新生儿死亡率及发病率明显降低,但不应忽视因手术引起的母亲并发症。大多数医院中,臀位分娩盛行剖腹产,不愿意仔细地估计和选择阴道分娩。随着产前,产间监护技术的改善,降低足月臀位剖腹产率是可行的。香港大学产科教学医院,在严格掌握臀位病人作选择性部腹产的指征后,剖腹产率从1978年的60%下降到1980年的38%,而围产期婴儿预后无明显差别。
The management of full-term breech delivery in modern obstetric practice remains controversial. There have been reports of breech cesarean delivery to ease the birth, neonatal mortality and morbidity was significantly reduced, but should not ignore the maternal complications caused by surgery. Most hospitals, breech delivery prevalent Caesarean section, do not want to carefully estimate and choose vaginal delivery. With the improvement of antenatal and inter-departmental monitoring techniques, it is feasible to reduce full-term breech delivery. The Department of Obstetrics and Gynecology and Pediatrics, Hong Kong University, strictly controlled the indication for selective breech delivery in breech patients, and the cesarean section rate dropped from 60% in 1978 to 38% in 1980, while there was no significant difference in perinatal infants’ prognosis.