Emergency Symphysiotomy for the Trapped Head in Breech Delivery: Indications, Limitations and Method

Author:

Pust Ronald E1,Hirschler Richard A2,Lennox Christopher E3

Affiliation:

1. Department of Family and Community Medicine, University of Arizona College of Medicine, Tucson, Arizona 85724, USA

2. Syracuse, Indiana 46567, USA

3. Consultant Obstetrician and Gynaecologist, William Smellie Memorial Maternity Hospital, Lanark, Scotland ML11 9HN, UK

Abstract

Careful case selection can avoid most obstetrical emergencies. However, even with optimum management of breech labour, the fetal head may become trapped. Since doctors in developing nations must be prepared for this dire situation, this article reviews breech case selection and outlines the steps in breech delivery, illustrating symphysiotomy for the entrapped head. The limitations and precautions associated with symphysiotomy are stressed.

Publisher

SAGE Publications

Subject

Infectious Diseases,Public Health, Environmental and Occupational Health

Cited by 17 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. No. 384-Management of Breech Presentation at Term;Journal of Obstetrics and Gynaecology Canada;2019-08

2. No 384 - Prise en charge de la présentation du siège du fœtus à terme;Journal of Obstetrics and Gynaecology Canada;2019-08

3. Indication;The Annals of Family Medicine;2012-01-01

4. Does a preference for symphysiotomy over caesarean section reduce the operative delivery rate?;Tropical Doctor;2009-09-17

5. Vaginal delivery of breech presentation;International Journal of Gynecology & Obstetrics;2009-08-08

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