Author(s): Partha Mukhopadhyay, Tapan Naskar, Rabindranath Dalui, Samir Hazra, Debasis Bhattacharya
OBJECTIVE(S) : To evaluate Patwardhan’s technic of delivering shoulders first during lower segment cesarean section for obstracted labor. METHOD(S): Patwardhan’s technic of shoulder first delivery was adopted in 50 cases (study group) and compared with 50 cases (control group) where this method was not used. RESULTS : Extension of the incision, both transverse and vertical, was seen only in four cases in the study group compared to 19 in the control group. Excessive bleeding due to extension of the incision, bladder injury, need for hysterectomy, and requirement of blood transfusion were much less in the study group. Perinatal outcome was almost similar in both the groups. CONCLUSION(S) : Patwardhan’s technic is a safe, easy and preferred method of delivery during lower segment cesarean section for obstructed labor with deeply impacted head.