Extraction of the Head at Breech Delivery

Czech version

Authors: J. Nagy; I. Huvar
Authors‘ workplace: Gynekologicko-porodnické oddělení, Nemocnice Milosrdných bratří, Brno, primář MUDr. I. Huvar, CSc.
Published in: Ceska Gynekol 2004; (3): 196-201
Category:

Overview

Objective:
Review of method of head extraction at breech delivery.Designe: Review of literature.Setting: Department Gynecology and Obstetric Nemocnice Milosrdných bratří, Brno.Methods: Review of textbooks, articles obtained through MEDLINE and authors’ experience.Results: Entrapment of head at breech delivery is a serious complication in about 8% deliveries.Two methods for extraction of head are available: forceps and manual maneuver. We compareadvantage and disadvantage of both approaches and their evaluation in literature particularlyin the Czech one. We describe own experience with forceps for aftercoming head.Conclusion: We ﬁ nd no evidence that these two methods exert different inﬂ uence on perinataloutcome. Preference of one of them depends on tradition and conventions of the department.Obstetrician, familiar with forceps for cephalic presentation, need not be afraid to use this procedurefor aftercoming head.

Key words:
breech, entrapment of head, manual extraction, forceps for aftercoming head

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