Delivery of an impacted head during caesarean section. An easy and reliable manoeuvre: to assess adequate and safe hysterotomy and to control bleeding

Domini, E. and Guazzini, Stefano and Vicentini, Sarah and Urso, Marilena (2006) Delivery of an impacted head during caesarean section. An easy and reliable manoeuvre: to assess adequate and safe hysterotomy and to control bleeding. Giornale italiano di ostetricia e ginecologia, 28 (5). pp. 207-208. ISSN 1971-1433

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Abstract

"Push or pull” are the two methods by which an impacted head may be delivered during a caesarean section; the pull method is the one preferred. A manoeuvre is hereby described through which a deeply wedged head may be disengaged prior to hysterotomy. The success of this manoeuvre allows delivery of the head through a low uterine segment transverse hysterotomy. Its failure is an indication of reverse breech extraction to be performed through a longitudinal caesarean section; which to the Author’s experience proved to be less traumatic and easier to repair than an inverted T shaped or a very curved transverse LUS hysterotomy. To Authors experience, longitudinal hysterotomy when properly repaired is not an indication to tubal ligature. The routine use of this manoeuvre allows a quite bloodless caesarean section

Item Type: Article
Additional Information: Obstructed labour, impacted head, deeply wedged head, caesarean section
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 618 Altri rami della medicina; Ginecologia e ostetricia, Pediatria, Geriatria
Depositing User: Matteo Viola
Date Deposited: 06 May 2013 10:56
Last Modified: 16 May 2013 13:20
URI: http://eprints.bice.rm.cnr.it/id/eprint/5149

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