Наружный поворот плода на головку

вот это круто! а то сразу кесарево при тазовом...

Ну при наружнем перевороте тоже куча осложнений может быть. В частности преждевременная отслойка плаценты или гипоксия плода. Роды в тазовом предлежании на мой взгляд безопаснее наружнего переворота, кесарево при тазовом безопаснее ЕР. Для ребенка.

Вот есть кокрейновский обзор. Итог: плановые КС безопаснее для ребенка, но связаны с риском бОльших краткосрочных осложнений для матери. По истечении 2 лет данные по смертности и неврологическому благополучию детей не различаются в группе ЕР и КС , также как и данные по здоровью матерей.

Planned caesarean section for term breech delivery
Hofmeyr GJ, Hannah ME

Summary
Planned caesarean section safer for singleton term breech babies than planned vaginal birth, managed according to a clinical protocol, but more complications for mothers
Most babies are born head first but some lie in the womb with their buttocks or feet coming first (breech). The review of studies showed that planned caesarean section was safer for the singleton breech baby at term than planned vaginal birth, managed according to a clinical protocol. However, mothers suffered more short-term complications and there was limited information about the potential for problems with future pregnancies.

This is a Cochrane review abstract and plain language summary, prepared and maintained by The Cochrane Collaboration, currently published in The Cochrane Database of Systematic Reviews 2007 Issue 3, Copyright © 2007 The Cochrane Collaboration. Published by John Wiley and Sons, Ltd.. The full text of the review is available in The Cochrane Library (ISSN 1464-780X).
This record should be cited as: Hofmeyr GJ, Hannah ME. Planned caesarean section for term breech delivery. Cochrane Database of Systematic Reviews 2003, Issue 2. Art. No.: CD000166. DOI: 10.1002/14651858.CD000166

This version first published online: April 22. 2003
Date of last subtantive update: April 01. 2003

Abstract
Background
Poor outcomes after breech birth might be the result of underlying conditions causing breech presentation or to factors associated with the delivery.

Objectives
To assess the effects of planned caesarean section for singleton breech presentation at term on measures of pregnancy outcome.

Search strategy
We searched the Cochrane Pregnancy and Childbirth Group trials register (October 2004) and the Cochrane Central Register of Controlled Trials (The Cochrane Library, Issue 3, 2004).

Selection criteria
Randomised trials comparing planned caesarean section for singleton breech presentation at term with planned vaginal birth.

Data collection and analysis
We assessed trial eligibility and quality. We extracted and analysed data using routine Cochrane Collaboration methodology.

Main results
Three trials (2396 participants) were included in the review.

Caesarean delivery occurred in 550/1227 (45%) of those women allocated to a vaginal delivery protocol. Perinatal or neonatal death (excluding fatal anomalies) or serious neonatal morbidity was reduced with planned caesarean section (relative risk (RR) 0.33, 95% confidence interval (CI) 0.19 to 0.56). This reduction was less for countries with high national perinatal mortality rates. Perinatal or neonatal death (excluding fatal anomalies) was also reduced with planned caesarean section (RR 0.29, 95% CI 0.10 to 0.86). The proportional reductions were similar for countries with low and high national perinatal mortality rates. Planned caesarean section was associated with modestly increased short-term maternal morbidity (RR 1.29, 95% CI 1.03 to 1.61). At three months after delivery, women allocated to the planned caesarean section group reported less urinary incontinence (RR 0.62, 95% CI 0.41 to 0.93); more abdominal pain (RR 1.89, 95% CI 1.29 to 2. 79); and less perineal pain (RR 0.32, 95% CI 0.18 to 0.58).

At two years, there were no differences in the combined outcome 'death or neurodevelopmental delay'. Maternal outcomes at 2 years were also similar.

Authors' conclusions
Planned caesarean section compared with planned vaginal birth reduced perinatal or neonatal death or serious neonatal morbidity, at the expense of somewhat increased maternal morbidity....

Я смотрела видео, когда думала, что Димка ножками лежит и вдруг кесарево предстоит. Но рожать бы я не стала ногами - это точно. И на наруж поворот не пошла бы - страашно.....

я тоже рожала когда малыш попой сидел и пуповиной был обвит, тоже кесарить хотели. Слава  Богу обошлось!