AI 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.

Article Abstract

The main causes of difficult fetal extraction during cesarean section are deeply impacted fetal head and floating presentation of the fetus. Studies of management techniques for difficult fetal extraction during cesarean section and the maternal and neonatal results lack scientific evidence, as these predominantly come from case reports, small case series and expert opinions. The deeply impacted fetal head is usually associated with prolongation of the expulsion period and/or unsuccessful attempts at operative vaginal delivery. The main maternal complications associated with the management of the deeply impacted fetal head are lacerations in the lower uterine segment, hematomas in the uterine ligaments and injuries to the uterine vessels, cervix and/or urinary tract. The main neonatal complications associated with the management of a deeply impacted fetal head are intracranial hemorrhage, fractures of the skull and/or cervical spine, nerve injuries, perinatal asphyxia and even death. Among the maneuvers for delivery of the deeply impacted fetal head, the abdominovaginal delivery (push method) seems to be the most associated with maternal and neonatal complications. In the non-insinuated and floating fetal head, the internal podalic version followed by pelvic extraction differs from the reverse breech extraction (pull method). When the fetal head is high in the pelvis, the fetus is internally ejected before the extraction of its body segments, similar to the internal version performed in the vaginal delivery of the second twin with floating presentation of the fetus.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11460424PMC
http://dx.doi.org/10.61622/rbgo/2024FPS08DOI Listing

Publication Analysis

Top Keywords

fetal head
28
deeply impacted
20
impacted fetal
20
difficult fetal
12
fetal extraction
12
extraction cesarean
12
fetal
9
floating presentation
8
presentation fetus
8
maternal neonatal
8

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!