[Expanded indication for caesarean section in breech presentation (authors transl)].

In this paper is investigated, in what a quantity the caesarean section can improve the prognosis for the infant. Two groups (1968 to 1972 and 1973 to 1975) are opposed. The decrease of the neonatal mortality from 8,2% on 5,0% can be subsequently of the widening for caesarean indication during the second time (1973-1975). In spite of other minds we have found, that the birth traumatical loading of the newborn during vaginal delivery of breech presentation is more severe in nullipara than in multipara. Hypothetical estimations show, that if we had carried out in all breech positions in nullipara the caesarean section, we had 7 infants (2,7%) which not had died. But this way had lead to a rise of the section frequence from 24,5% to 72,3% of all breech presentations. Because of the high mortality and morbidity of the caesarean operation most of the authors recommend the expanded indication for caesarean section and not the general indication. Our own screening for expanded indication has been presented.