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From the Obstetrics and Gynecology Service, US Army Tripler General Hospital, APO San Francisco 96438
*Present address: Rye Medical Group, 269 Purchase St, Rye, NY.
Present address: Otis Air Force Base, Mass
Abstract
A group of 100 primigravidas with breech presentation at term were managed prospectively according to a preconceived plan. Ten percent of the group had cesarean sections; the perinatal mortality was 4%. Specific criteria are set forth which determine whether such a patient should be managed expectantly, given a trial of labor, or subjected to elective cesarean section. Guidelines for the use of oxytocin for the induction or stimulation of labor are outlined.
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