Publications by authors named "Alvaro L L Alves"
Difficult fetal extraction in cesarean section: Number 8 - 2024.
Rev Bras Ginecol Obstet
October 2024
Article Synopsis
- Difficult fetal extraction during cesarean sections is mainly caused by a deeply impacted fetal head and floating fetus presentation, with limited scientific evidence supporting various management techniques.
- Maternal complications from managing a deeply impacted fetal head include lacerations and hematomas, while neonates may suffer serious issues like hemorrhage, fractures, nerve injuries, and perinatal asphyxia.
- The abdominovaginal delivery method is linked to higher complications, while the internal podalic version followed by pelvic extraction is a distinct approach for floating fetal presentations.
Objective: To compare the manufacturing, infusion, and total times of handmade balloons for uterine tamponade using the El Hennawy and Alves techniques, given the failure of initial measures and uterotonic therapy to control postpartum hemorrhage.
Methods: An open clinical trial (clinical article) was conducted among 30 physicians, residents, and assistants in an Obstetrics Department. Each participant manufactured and infused one of two different balloons compared in the study, in a randomly predefined sequence.