[Breech presentation. Management at the Dr. "Dario Fernández" Hospital]. / Presentación pélvica. Manejo en el hospital Dr. "Dario Fernández", ISSSTE.

The management of 73 breech presentation was reviewed, in order to see if cesarean section and adequate maneuvers improve, maternal or fetal outcome. From 33 to 36 weeks of gestational age, were 19.2%; from 37 to 42 weeks, 80.8%. Nulliparous, 53.4%; multiparous, 46.6%. Maternal morbidity was 15%; mortality, of zero. Fetal weight, 2500 to 3500 gm, 69.9%. Apgar scores at five minutes of 7 or more, were 90.5%. Adequate maneuvers during cesarean section with Apgar scores of seven o more, 97%; inadequate maneuvers, 62%. Fetal morbidity was 9.5%; and zero mortality. Congenital abnormalities, 6.8%. In conclusion, cesarean section and adequate maneuvers, improve perinatal outcome, in the breech presentation.