Author/Editor		Najdenov, Peter
Title		Zapleti medenične vstave
Translated title		Complications associated with breech deliveries
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 76, št. 11
Publication year		2007
Volume		str. 759-62
Language		slo
Abstract		Background Breech is the commonest unusual presentation at the delivery and scores to 3‐5% of all malpresentations. Fetal bottocks and legs are the leading parts at breech delivery. Unfavorable birth mechanics leads to many possible complications and birth trauma. Many factors contributes to breech presentation such as multiparity, uterine abnormalities, previous breech delivery, pelvic tumors and others. Conclusions Birth trauma is a consequence of mechanical forces and hypoxia during the passage through the birth chanell. Fetal factors and delivery technique are also important contributors to neonatal morbidity and mortality. Cord prolaps is the most severe complication and leads to tissue hypoxia. Compression, traction and tension forces acting on the fetus often cause soft parts trauma. Clinical signs of birth trauma are often misleading and unsignificant. Treatment should be multidisciplinary.
Summary		Izhodišča Medenična vstava je najpogostejša nepravilna vstava in se pojavlja v 3‐5% vseh porodov. Pri porodu v medenični vstavi je vodilni plodov del njegova zadnjica ali noge.Zaradi neobičajne mehanike poroda lahko nastanejo številni zapleti, ki vodijo v nastanek obporodnih poškodb različne stopnje. K medenični vstavi pripomore več različnih dejavnikov, kot so mnogorodnost, nepravilnosti maternice, predhoden porod v medenični vstavi in drugi. Zaključki Obporodne poškodbe so posledica delovanja mehanskih sil in hipoksije, pomembno vlogo pa imajo tudi dejavniki ploda in tehnike vodenja poroda. Najhujši zaplet je izpad popkovnice, ki vodi v hipoksijo. Kompresija, trakcija in torzija vodijo do nastanka mehanskih poškodb na različnih delih ploda. Klinična slika poškodb otroka je pogosto neznačilna in zahteva temeljito timsko obravnavo zdravnikov več različnih strok.
Descriptors		LABOR COMPLICATIONS BREECH PRESENTATION BIRTH INJURIES