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Impacted fetal head during second stage Caesarean birth: A prospective observational study.
- Source :
-
European journal of obstetrics, gynecology, and reproductive biology [Eur J Obstet Gynecol Reprod Biol] 2022 May; Vol. 272, pp. 77-81. Date of Electronic Publication: 2022 Mar 04. - Publication Year :
- 2022
-
Abstract
- Objective: To determine the incidence of, and complication rates from, impacted fetal head at full dilatation Caesarean birth in the UK, and record what techniques were used.<br />Design: Prospective observational study using the UK Obstetric Surveillance System (UKOSS).<br />Setting: 159 (82%) of the 194 UK hospitals with obstetric units.<br />Population: All women who underwent second stage Caesarean birth in the UK between 1st March and 31st August 2019. Further information was collected on cases where a dis-impaction technique was used, or the operating surgeon experienced 'difficulty' in delivering the head.<br />Methods: Prospective observational study.<br />Main Outcome Measures: Technique(s) used, maternal and neonatal outcomes.<br />Results: 3,518 s stage Caesarean births reported. The surgeon used a dis-impaction technique or reported 'difficulty' in 564 (16%) of these. The most common dis-impaction techniques used were manual elevation of the head by an assistant through the vagina (n = 235) and a fetal "pillow" (n = 176). Thirteen babies (2%) died or sustained severe injury. Four babies died (two directly attributable to the impacted fetal head).<br />Conclusions: Difficulty with delivery of the fetal head and the use of dis-impaction techniques during second stage Caesarean sections are common but there is no consensus as to the best method to achieve delivery and in what order.<br /> (Copyright © 2022 The Authors. Published by Elsevier B.V. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 1872-7654
- Volume :
- 272
- Database :
- MEDLINE
- Journal :
- European journal of obstetrics, gynecology, and reproductive biology
- Publication Type :
- Academic Journal
- Accession number :
- 35290876
- Full Text :
- https://doi.org/10.1016/j.ejogrb.2022.03.004