Journal of Regional Section of Serbian Medical Association in Zajecar

Year 2005     Volumen 30     Number 3
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UDK: 618.5 ISSN 0350-2899, 30(2005) 3 p. 106-108
Original paper

Pelvis Delivery and Obstetrician Assistance

Dragoslav Kalinović (1), Ljubica Milošević (1), Dragan Perišić (2) ,Vera Najdanović-Mandić (1)
(1) Zdravstveni centar Zaječar, Ginekološko-akušerska služba,
(2) Zdravstveni centar Gornji Milanovac, Ginekološko-akušerska služba



  Summary: What we mean by pelvic presentation of the embryo is vertical position of the foetus with a front position of the pelvis. This kind of presentation is on average met in 3-4% of all monofoetal deliveries and belongs to relatively rare presentations. Over a five-year period (1998-2002) at the gynaecological-obstetrician ward of the Health Care Centre in Zaječar we monitored the ending of delivery with pelvic presentation, as well as the assistance of the obstetrician on that occasion. There were 140 deliveries with pelvic presentation and we monitored their endings, the parity of deliveries, as well as the Apgar score of newborn babies. In 63 cases we performed caesarean sections, in 72 cases we applied Bracht method, in 5 cases Smellie-Veit manoeuvre, once Lovset method and once a V.E. was placed. Deliveries of embryos with pelvic presentation through vagina were always followed by high perinatal mortality and morbidity. Assistance of the obstetrician in such a delivery always should and had to occur at some moment of embryo expulsion and any belated or premature action could have fatal consequences for the embryo in the first place and then for the mother. Good clinical observation, adequate application of the ultrasound, CTG apparatus, patience and expertise of the obstetrician are the most important prerequisites for successful completion of this risky obstetric action.
Key words: pelvic presentation, obstetrician assistance, grips

Note: full text in Serbian
Napomena: kompletan tekst rada na srpskom jeziku

  Corresponding Address:
Dragoslav Kalinović
Dunavska 3, 19000 Zaječar
e-mail: kalinovic@ptt.yu
  Paper received: 02.06.2005.
Paper accepted: 01.09.2005.
Published online: 16.12.2005.
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