BREECH PRESENTATION - INFORMATION - FEAR - EXPECTATION PATTERN IN GYNECOLOGISTS AND IN PREGNANT-WOMEN .1. RESULTS OF A SURVEY WITH GYNECOLOGISTS

In a anonymous questionnaire we studied the advise of gynecologists to breech presented pregnant women in the area around Nurnberg-Furth-Erl angen in Germany. 61.5% of gynecologists participated the study, 71.2% of them (n = 57) prefer primary caesarean section in primapara. 13.8% (n = 11) of the questioned doctors favour a vaginally delivery proced ure. Advise to multiparas for primarous caesarean section was given in 8.8% (n = 7) and for vaginally delivery mode in 80.0% (n = 64). Reaso ns for caesarean section was a decreased fetal delivery risk (90%, n = 72) and the possibility of prospective delivery planing (26.3%, n = 2 1). Other reasons were various obstetrical risk factors and forensic a spects. Benefits of vaginally delivery mode in multiparas was a low fe tal delivery risk (72.5%, n = 58) and a low maternal morbidity (66.3%, n = 53). Results of actual studies are suggesting, that there is a co ntrolled fetal risk of vaginally delivery mode in breech presented lab our. According to these studies a change of labour procedure is essent ial.