Pelvic presentation, always cesarean?
Neri Ruiz, E.S.; Valerio Castro, E.; Cárdenas Arias, R.; Navarro Milla, C.
Ginecologia y Obstetricia de Mexico 65: 474-477
1997
ISSN/ISBN: 0300-9041 PMID: 9441149 Document Number: 474095
During one year, 104 term products were in fetal presentation. Cesarean was done in 75%, and most frequent indications were, deflexionated head (24.2%); previous section 24.2%; head hyperextension 12.8%. Section was done only in 14.4% of product with the requisites for vaginal delivery. There were two neonate al deaths among the ones by vaginal via; one due to major congenital malformations. Corrected neonatal mortality was 34.4 for 1000 alive products. Severe perinatal asphyxia was in 0.76% in vaginal birth and in 0.38% of cesarean products; and difference was not statistically significant. Maternal morbidity was 20.3% in cesarean and 0% for vaginal delivery. In the cases with pelvic presentation, well selected for vaginal delivery, fetal morbidity was not significantly increased, and maternal morbidity decreases importantly. In selected patients and with well trained physicians for this purpose, vaginal delivery is a good option.