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SM ISO690:2012 SAVA, Marina, CALIGA, Gheorghe, POSTU, Angela. Clinical management of the birth in breech presentation . In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 419. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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Pag. 419-419 | ||||||
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Background. The way of delivery in breech presentation (BP) continues to be debated, as BP is associated with higher prenatal morbidity and mortality, mostly related to the mode of birth. The safety of pelvic vaginal birth is the most discussed problem. Objective of the study. Analysis of births in pelvic presentation in Gheorghe Paladi Hospital between 2020-2021 years. Material and Methods. The data of a retrospective study are presented, which included the analysis of births in patients with pelvic presentation of the fetus. The data from the birth registers of 429 patients who gave birth between 2020-2021 Gh. Paladi MCH. Results: BP of the fetus was found in 4.4% of cases. Pregnancies were completed at 37-40 weeks in 80.9% of cases and premature birth - 19.1% of cases. The birth was completed by emergency caesarean section (CS) in 59.7%, followed by planned CS - 33.3% of cases, naturally only 7% of pregnant women gave birth. Complications that would have influenced the intrauterine position of the fetus in 12.8% was circular umbilical cord, abnormalities of development of internal genitals were detected in 4.2% of cases; oligoamniosis - 3.03%, polyhydramniosis - 0.93%, short anatomical cord - 2.1%. 19.8% of children had a low birth weight, up to 2500 g, 22.6% had a mass between 2500-3000 g, 31% - 3000-3500, 19.4% - 3500-4000, macrosome faces - 6.5% of cases. Conclusions: BP’s tactics of conduct are established individually, depending on maternal and fetal factors. Vaginal birth in BP is complicated and only qualified and experienced medical staff are qualified in their conduct. |
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Cuvinte-cheie pelvic presentation, cesarean section, prezentația pelvină, operaţia cezariană |
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