本文回顾分析我院1980～1982年3年中542例单胎臀位的分娩情况,其中剖腹分娩占46.86%,以社会因素为适应证占38.98%,骨盆狭窄次之。剖腹分娩的胎儿窘迫及新生儿窘迫均较阴道分娩者为低(P<0.01),剖腹产的围产儿死亡率远较阴道分娩者低。剖腹产的产后出血率及产褥感染较阴道分娩者高(P<0.01)。要降低臀位围产儿死亡率,本文建议臀位剖腹产宜在50%左右。 This article retrospectively analyzed 542 cases of single breech delivery in our hospital from 1980 to 1982, of which 46.86% were cesarean delivery and 38.98% were indications of social factors, followed by pelvic stenosis. Cesarean delivery of fetal distress and neonatal distress were lower than vaginal delivery (P <0.01). Caesarean section perinatal mortality was far lower than vaginal delivery. The rate of postpartum hemorrhage and puerperal infection in caesarean section was higher than that in vaginal delivery (P <0.01). To reduce perinatal mortality in the breech, this article recommends breech cesarean section should be about 50%.