臀位分娩兒의 出生後 發達에 對한 觀察 = Study on Developmental Pattern of Infant Born by Breech Deliveries

다국어 초록 (Multilingual Abstract)

Present study was carried out to determined the influence on peri-and postnatal status of infant born by breech deliveries. For the purpose of study of perinatal status, the results of survey of 1,250 breech presentation from 3 institution have been presented.
The observation of postnatal development was conducted in the 332 infants who were born at Korea University hospital until at the age of 2 to 2 1/2 years.
The following results were obtained.
1. The incidence of breech presentation was 4.2% of the total deliveries and it is evident that breech presentation was accompained by an increased premature birth.
2. Prenatal mortality rate of breech delivery was higher (16.88%) than other delivery (2.51%). In which prenatal mortality of low-birth-weight breech was 38.6% but other delivery was 1.6% pre-term breech 38.6%, other delivery 16.1%, and full-term breech was 5.67% instead of 1.11% in other delivery.
3. Postnatal mortality rate for breech newborn was 22.6% and other delivery was 1.5%. It is estimated that risk of pre-and postnatal mortality for breech presentation was 2 to 3 or 6 to 7 times more than non-breech deliveries.
4. Of the 332 infants who survived, 271 or 81.6%, were apparently well and left the hospital in good condition.
5. Of the 21 infants with moderate asphyxia, 15 apparently appeared absolutely normal. With the remaining 6, in addition to neurologic findings (mainly spasticity), their development was well behind the average for their age.
6. Of the 15 with nerve paralysis, three of branchial and two of the facial group were still in almost the same condition. In ten others, the nerve function was completely improved.
7. Two of the six infants with injury to the genitalia who were seen again at the age of two still had gross hydrocele.

목차 (Table of Contents)

• Ⅰ. 緖論
• Ⅱ. 調査對象 및 方法
• Ⅲ. 調査結果
• 1. 發生頻度
• 2. 性別分布
• 3. 産母年齡分布
• 4. 分娩回數
• 5. 出産時體重과 姙娠期間分布
• 6. 周産期死亡率
• 7. 出生後發達
• Ⅳ. 總括 및 考按
• Ⅴ. 結論
• 參考文獻