alexa Abdominovaginal delivery: Modification of the cesarean operation to facilitate delivery of the impacted head
Reproductive Medicine

Reproductive Medicine

Clinics in Mother and Child Health

Author(s): Landesman R, Graber EA

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The abdominovaginal delivery is a modification of the cesarean section operation in the presence of an impacted fetal head, usually after a prolonged second stage of labor with ruptured membranes. With the legs abducted in either the "Whitmore" or the "frog" position, the wedged vertex is gently lifted with the cupped hand into the open transverse uterine incision, thereby reducing injury to the fetal head and the uterus. With the greater use of cesarean section operation and the sharp reduction in rotational and midforceps deliveries, the abdominovaginal procedure has an increasingly important place in our obstetric armamentarium.

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This article was published in Am J Obstet Gynecol. and referenced in Clinics in Mother and Child Health

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