Beckenendlagengeburt – mehr als Sectio vs. Spontangeburt

Zusammenfassung

Die Zahl der Kaiserschnitte mit den daraus resultierenden Komplikationen nimmt in der Bundesrepublik kontinuierlich zu. Eine Indikation ist die Einstellungsanomalie Beckenendlage bei Einlingen am Termin. Während Morbidität und Mortalität der vaginalen Geburt bei Beckenendlage in Studien nicht signifikant differieren von den Resultaten der primär sektionierten Kinder, ist ein Ausbildungs- und Erfahrungsdefizit zur Betreuung von Patientinnen mit Steißlage unter der Geburt nachweisbar.

Abstract

The cesarean section rate and the associated complications are still rising in Germany. An important indication is term breech in singletons. Not significant data concerning a higher morbidity or mortality in vaginal breech birth indicate the cesarean but a deficit in education and experience.

Schlüsselwörter

Beckenendlage am Termin - Gebärposition - Sectiorate

Key words

Term breech birth - birth position - cesarean section rate

• Literatur

• 1 Alarab M, Regan C, O’Connell MP et al. Singleton vaginal breech delivery at term: still a safe option. Obstet Gynecol 2004; 103: 407-412
• 2 Albrechtsen S, Rasmussen S, Reigstad H et al. Evaluation of a protocol for selecting fetuses in breech presentation for vaginal delivery or cesarean section. Am J Obstet Gynecol 1997; 177: 586-592
• 3 Albrechtsen S, Rasmussen S, Dalaker K et al. Factors influencing delivery method in breech presentations. Acta Obstet Gynecol Scand 1998; 77: 416-421
• 4 Beck L. Geburt aus dem Tod. Gynäkologe 1999; 32: 910-911
• 5 Biswas A. Term breech trial. Lancet 2001; 357: 225
• 6 Bracht E. Zur Beckenendlage-Behandlung. Geburtsh Frauenheilk 1964; 24: 635-637
• 7 Brown L, Karrison T, Cibils LA. Mode of delivery and perinatal results in breech presentation. Am J Obstet Gynecol 1994; 171: 28-34
• 8 Caughey AB. Counseling patients about obstetric risk: the breech experience. J Perinatol 2007; 27: 139-140
• 9 Carayol M, Zeitlin J, Roman H et al. Non-clinical determinants of planned cesarean delivery in cases of term breech presentation in France. Acta Obst Gyn Scand 2007; 86: 1071-1078
• 10 Daviss BA, Johnson KC, Lalonde AB. Evolving evidence since the term breech trial: Canadian response, European dissent, and potential solutions. J Obstet Gynaecol Can 2010; 32: 217-224
• 11 Deutsche Gesellschaft für Gynäkologie und Geburtshilfe . Leitlinie: Absolute und relative Indikation zur Sektio caesarea und zur Frage der so genannten Sectio auf Wunsch. DGGG Stand Juli 2008;
• 12 Deutsche Gesellschaft für Gynäkologie und Geburtshilfe . Leitlinie: Geburt bei Beckenendlage. DGGG Stand Januar 2010;
• 13 Gerabek W, Haage BD, Keil G. Enzyklopädie Medizingeschichte. Walter de Gruyter Verlag; Berlin: 2004. 35–36. 421-435
• 14 Giuliani A, Schöll WM, Basver A et al. Mode of delivery and outcome of 699 term singleton breech deliveries at a single center. Am J Obstet Gynecol 2002; 187: 1694-1698
• 15 Glezerman M. Five years to the term breech trial: the rise and fall of a randomized controlled trial. Am J Obstet Gynecol 2006; 194: 20-25
• 16 Goffinet F, Carayol M, Foidart JM et al. Is planned vaginal delivery for breech presentation at term still an option? Results of an observational prospective survey in France and Belgium. Am J Obstet Gynecol 2006; 194: 1002-1011
• 17 Golfier F, Vaudoyer F, Ecochard R et al. Planned vaginal delivery versus elective caesarean section in singleton term breech presentation: a study of 1116 cases. Eur J Obstet Gynecol Reprod Biol 2001; 98: 186-192
• 18 Hannah ME, Hannah WJ, Hewson SA et al. Planned caesarean section versus planned vaginal birth for breech presentation at term: a randomised multicentre trial. Lancet 2000; 356: 1375-1383
• 19 Hannah ME, Whythe H, Hannah WJ et al. Maternal outcomes at 2 years after planned cesarean section versus planned vaginal birth for breech presentation at term: the international randomized Term Breech Trail. Am J Obstet Gynecol 2004; 191: 917-927
• 20 Hofmeyer GJ, Hannah ME. Planned caesarean section for term breech delivery. Cochrane Database of Systematic Reviews 2003; Issue 2. Art. No.: CD000166
• 21 Hopkins LM, Esakoff T, Noah MS et al. Outcomes associated with cesarean section versus vaginal breech delivery at a university hospital. J Perinatol 2007; 27: 141-146
• 22 Hogle KL, Kilburn L, Hewson S et al. Impact of the international Term Breech Trial on clinical practice and concerns: a survey of centre collaborators. J Obstet Gynaecol Can 2003; 25: 14-16
• 23 Kirschbaum M, Hermsteiner M, Künzel W. Vaginale und abdominale Entbindung der Beckenendlage. Gynäkologe 1998; 31: 761-771
• 24 Kotaska A. Inappropriate use of randomised trials to evaluate complex phenomena: case study of vaginal breech delivery. BMJ 2004; 329: 1039-1042
• 25 Lumley J. Any room left for disagreement about assisting breech births at term?. Lancet 2000; 356: 1369-1370
• 26 van Loon AJ, Mantingh A, Serlier EK et al. Randomised controlled trial of magnetic-resonance pelvimetry in breech presentation at term. Lancet 1997; 350: 1799-1804
• 27 Pasupathy D, Wood AM, Pell JP et al. Time trend in the risk of delivery-related perinatal and neonatal death associated with breech presentation at term. Int J Epidemiol 2009; 38: 490-98
• 28 Rietberg CC, Elferink-Stinkens PM, Visser GH. The effect of the Term Breech Trial on medical intervention behaviour and neonatal outcomes in the Netherlands: an analysis of 35453 term breech infants. BJOG 2005; 112: 205-209
• 29 Su M, McLeod L, Ross S et al. Factors associated with adverse perinatal outcome in the Term Breech Trial. Am J Obstet Gynecol 2003; 189: 740-745
• 30 Todmann DH. Eduardo Porro (1842–1902) and the development of caesarean section – a reappraisal. Internet J Gyn Obst 2007; 7 (02)
• 31 Whyte H, Hannah ME, Saigal S et al. Outcomes of children at 2 years after planned cesarean birth versus planned vaginal birth for breech presentation at term: the international randomized term breech trial. Am J Obstet Gynecol 2004; 19: 864-871