A Different Tecnique for Head Stuck in Breech Delivery
Breech presentation and breech delivery increase fetal-maternal morbidity and mortality. In cases of fetal head stuck following delivery of the fetal body, abdominal flexion and vaginal extraction may be a choice of surgical intervention. In the current study, we report a 38-year-old, gravida 4 par...
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| Language: | English |
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Medical Network
2015-08-01
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| Series: | Gynecology Obstetrics & Reproductive Medicine |
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| Online Access: | https://gorm.com.tr/index.php/GORM/article/view/31 |
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| author | Gürhan Güney Nihat İnan Aytekin Tokmak Muammer Doğan |
| author_facet | Gürhan Güney Nihat İnan Aytekin Tokmak Muammer Doğan |
| author_sort | Gürhan Güney |
| collection | DOAJ |
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Breech presentation and breech delivery increase fetal-maternal morbidity and mortality. In cases of fetal head stuck following delivery of the fetal body, abdominal flexion and vaginal extraction may be a choice of surgical intervention. In the current study, we report a 38-year-old, gravida 4 para 3 woman who presented in our emergency department with the fetal head remained stuck inside the uterus whereas other parts of the body were outside the vagina. Ultrasound at admission showed absent cardiac activity due to prolonged cord compression and a solid lesion 7 cm in diameter near the fetal head which was thought to be an intramural myoma was detected at the same time.
Traditional maneuvers for delivery of the head under general anesthesia failed. We performed a different technique in breech delivery when all manevuers have failed. Upper flexion and lower extraction technique is a novel approach and can be performed safely by two obstetricians.
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| format | Article |
| id | doaj-art-66ac7937d59d475b90544f8e35fbc6da |
| institution | Kabale University |
| issn | 1300-4751 2602-4918 |
| language | English |
| publishDate | 2015-08-01 |
| publisher | Medical Network |
| record_format | Article |
| series | Gynecology Obstetrics & Reproductive Medicine |
| spelling | doaj-art-66ac7937d59d475b90544f8e35fbc6da2025-02-11T21:25:49ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182015-08-0121226A Different Tecnique for Head Stuck in Breech DeliveryGürhan Güney0Nihat İnan1Aytekin Tokmak2Muammer Doğan3Department of Obstetrics and Gynecology, Van Research and Education Hospital, VanDepartment of Obstetrics and Gynecology, Van Research and Education Hospital, VanDepartment of Obstetrics and Gynecology, Dr. Zekai Tahir Burak Women's Health Education and Research Hospital, AnkaraDepartment of Obstetrics and Gynecology, Dr. Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara Breech presentation and breech delivery increase fetal-maternal morbidity and mortality. In cases of fetal head stuck following delivery of the fetal body, abdominal flexion and vaginal extraction may be a choice of surgical intervention. In the current study, we report a 38-year-old, gravida 4 para 3 woman who presented in our emergency department with the fetal head remained stuck inside the uterus whereas other parts of the body were outside the vagina. Ultrasound at admission showed absent cardiac activity due to prolonged cord compression and a solid lesion 7 cm in diameter near the fetal head which was thought to be an intramural myoma was detected at the same time. Traditional maneuvers for delivery of the head under general anesthesia failed. We performed a different technique in breech delivery when all manevuers have failed. Upper flexion and lower extraction technique is a novel approach and can be performed safely by two obstetricians. https://gorm.com.tr/index.php/GORM/article/view/31Breech deliveryHead stuckUterine fibroidAbdominal flexionVaginal extraction |
| spellingShingle | Gürhan Güney Nihat İnan Aytekin Tokmak Muammer Doğan A Different Tecnique for Head Stuck in Breech Delivery Gynecology Obstetrics & Reproductive Medicine Breech delivery Head stuck Uterine fibroid Abdominal flexion Vaginal extraction |
| title | A Different Tecnique for Head Stuck in Breech Delivery |
| title_full | A Different Tecnique for Head Stuck in Breech Delivery |
| title_fullStr | A Different Tecnique for Head Stuck in Breech Delivery |
| title_full_unstemmed | A Different Tecnique for Head Stuck in Breech Delivery |
| title_short | A Different Tecnique for Head Stuck in Breech Delivery |
| title_sort | different tecnique for head stuck in breech delivery |
| topic | Breech delivery Head stuck Uterine fibroid Abdominal flexion Vaginal extraction |
| url | https://gorm.com.tr/index.php/GORM/article/view/31 |
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