Croatian Society of Gynaecology and Obstetrics, and Croatian Society of Perinatal Medicine of Croatian Medical Association
Abstract
Porod donošena djeteta u stavu zatkom rodničkim putem uz isključenje popratnih rizičnih čimbenika, zanemarivo je povišena rizika za dijete zbog moguće traumatske i asfiktične komponente. Što se više manipulira zatkom i što se intervencijom ranije počinje, veći je perinatalni morbiditet i mortalitet, a povećava se i opasnost majčine ozljede. Preporučuju se minimalno asistirane tehnike rađanja: Vermelinov pasivni spontani porod, Thiessenov ili modificirani Brachtov postupak.Vaginal delivery of a term infant in breech presentation, with the accompanying risk factors excluded, is associated with a negligibly higher risk for the infant due to the possible traumatic and asphyctic component. The greater the breech manipulation and the earlier the intervention, the higher is perinatal morbidity and mortality, while increasing the risk of maternal lesion. Minimally assisted delivery techniques are recommended, i.e. Vermelin passive spontaneous delivery, and Thiessen or modified Bracht procedure