| Autor: |
J K, Pollard, W L, Leaphart, T E, Braun, E L, Capeless |
| Rok vydání: |
1996 |
| Předmět: |
|
| Zdroj: |
Obstetrics and gynecology. 87(5 Pt 2) |
| ISSN: |
0029-7844 |
| Popis: |
Entrapment of the aftercoming head after mentum anterior rotation is a life-threatening complication of vaginal breech delivery. Few options exist when rotation and flexion from this position cannot be performed successfully either transabdominally or with vaginal maneuvers.A term primigravida presented with a singleton breech in advanced labor. The fetal torso and arms delivered vaginally, but the aftercoming head became extended and was entrapped in a mentum anterior position. The fetal head could not be rotated and flexed, either vaginally or transabdominally with suprapubic pressure. Laparotomy and hysterotomy were performed, and vaginal delivery of a live fetus was accomplished after rotation and flexion of the fetal head through this incision.Hysterotomy is a safe and effective maneuver for delivery of the entrapped fetal head with mentum anterior rotation after standard procedures have failed. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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