VAGINAL BIRTH ON BREECH PRESENTATION DOES NOT INCREASE THE EARLY MORBIDITY IN NEWBORNS - RESULTS OF 423 NEONATES BY BREECH PRESENTATION IN THE YEARS 1988 TO 1992

423 deliveries by breech presentation (1988-1992), delivered by vagina lly or abdominally management, were analysed. 72 preterm (32nd to 36th gestational week) and 351 term labours were studied. In 239/423 (56,5 %) cases neonates were delivered vaginally, in 54/423 (12,8%) and 130/ 423 (30,7%) cases primary or secondary cesarean section was necessery. In 120/423 (51,9%) cases of all primaparous spontanously delivery wer e realised. There was no difference in early morbidity of vaginal und abdominal delivered neonates (pH(NA), APGAR-Score, intracranially blee ding). Three intracranially bleedings (I-degrees, II-degrees, III-degr ees) observed in the vaginally delivery group (n = 239), were not the result of breech presentation or vaginally management. No correlation between vaginally management, acidosis and intracranially bleeding wer e observed. In patients presented with preterm labour (32nd to 36th ge stational week) and/or fetal intrauterin growth retardation, cesarean section could be indicated. In postnatal sonographic screening of all neonates hip joint disorders were twice more frequently in female neon ates (n = 51 vs. n = 26) without correlation to delivery mode. In conc lusion, if certain personally and equipmently conditions are considere d, vaginally delivery mode does not correlat to an increase of early n eonatal morbidity.