Disengagement of the Deeply Engaged Fetal Head during Cesarean Section Conventional Method versus Reverse Breech Extraction- Review of Literature
Department of Obstetrics and Gynecology, Postgraduate Institute of Medical Education and Research, India
- *Corresponding Author:
- Seema Chopra
Department of Obstetrics and Gynecology
Postgraduate Institute of Medical Education and Research, India
E-mail: [email protected]
Received date: April 04, 2016; Accepted date: May 08, 2016; Published date: May 15, 2016
Citation: Chopra S (2016) Disengagement of the Deeply Engaged Fetal Head during Cesarean Section-Conventional Method versus Reverse Breech Extraction-Review of Literature. Clinics Mother Child Health 13:239. doi:10.4172/2090-7214.1000239
Copyright: © 2016 Chopra S. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Obstructed labor with the fetal head impacted in pelvis is an obstetric complication that requires cesarean delivery with skilful handling. Extraction and delivery of the fetal head in this situation can be achieved utilizing either an ‘abdomino-vaginal’ approach or ‘reverse breech extraction’. Other techniques include use of a ‘Dis impaction system’ or ‘Patwardhan technique’. However, caesarean delivery cannot provide assurance against maternal and neonatal morbidity. Evidence is needed to guide clinicians as to which technique; reverse breech extraction or push method best facilitates delivery with the least complications for mother and baby. The superiority of one technique over another is yet to be proven. The present review indicates that the pull technique has relative advantages over the push method in cases of impacted fetal head at cesarean delivery with regard to fetal and maternal complications.