둔위시 외회전술의 평가 = Evaluation of Exernal Cephalic Version in Breech Presentation

다국어 초록 (Multilingual Abstract)

The purpose of this study is to see if the perinatal mortality in breech presentation can be reduced by doing external cephalic version at the appropriate time in as many as possible . Excluding version for transverse lie and breech versions not finally delivered in hospital, this study is based on a total of 392 patients on whom 511 versions were attempted from 1st of January 1972 to 31st of December 1974. The results are as follows: 1. E.C.V. reduces perinatal loss. 2. E.C.V. reduces caesarean section cases. 3. E.C.V. is safe if gently done, no anesthesia. 4. Spontaneous version occurs frequently, but it is impossible to know in which cases it will occur, so every patient should have the benefit of version. 5. The time of version should be individualized, according to amount of liquor and uterine tone. The best time is between 32-35weeks, but it is never too late to attempt.