Abstract
Background: Fetal replacement into the uterus for cesarean delivery after failed vaginal delivery has been reported for both vertex and breech presentations. Although an option, this mode of delivery frequently is the last maneuver to deliver a viable infant after other methods to allow vaginal delivery have failed. We report the adjunctive use of a vacuum extractor to facilitate abdominal rescue after entrapment of the aftercoming head during an attempted vaginal breech delivery. Case: A multiparous woman presented at term with two fetal feet bulging through the membranes at the introitus. During vaginal breech delivery, the aftercoming head became entrapped. Unsuccessful maneuvers to facilitate descent included Duhrssen incisions, the Mauriceau maneuver, placement of Piper forceps, and halothane administration. At emergency cesarean delivery, the infant was pushed upward from below, and rapid, successful delivery of a 2530-g neonate was accomplished with assistance by a vacuum extractor. Apgar scores were 3, 6, and 7 at 1, 5, and 10 minutes, respectively. Umbilical artery blood gas revealed a pH of 7.18 and base excess of -6. A head sonogram and electroencephalogram were normal. Both mother and infant were discharged without complications. Conclusion: After entrapment of the aftercoming head during attempted vaginal breech delivery, use of the vacuum extractor may expedite the abdominal rescue and cesarean.
| Original language | English |
|---|---|
| Pages (from-to) | 644-646 |
| Number of pages | 3 |
| Journal | Obstetrics and Gynecology |
| Volume | 84 |
| Issue number | 4 II SUPPL. |
| State | Published - Jan 1 1994 |
| Externally published | Yes |
Fingerprint
ASJC Scopus subject areas
- Obstetrics and Gynecology
Cite this
Abdominal rescue using the vacuum extractor after entrapment of the aftercoming head. / Landy, H. J.; Zarate, L.; O'Sullivan, J. J.
In: Obstetrics and Gynecology, Vol. 84, No. 4 II SUPPL., 01.01.1994, p. 644-646.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Abdominal rescue using the vacuum extractor after entrapment of the aftercoming head
AU - Landy, H. J.
AU - Zarate, L.
AU - O'Sullivan, J. J.
PY - 1994/1/1
Y1 - 1994/1/1
N2 - Background: Fetal replacement into the uterus for cesarean delivery after failed vaginal delivery has been reported for both vertex and breech presentations. Although an option, this mode of delivery frequently is the last maneuver to deliver a viable infant after other methods to allow vaginal delivery have failed. We report the adjunctive use of a vacuum extractor to facilitate abdominal rescue after entrapment of the aftercoming head during an attempted vaginal breech delivery. Case: A multiparous woman presented at term with two fetal feet bulging through the membranes at the introitus. During vaginal breech delivery, the aftercoming head became entrapped. Unsuccessful maneuvers to facilitate descent included Duhrssen incisions, the Mauriceau maneuver, placement of Piper forceps, and halothane administration. At emergency cesarean delivery, the infant was pushed upward from below, and rapid, successful delivery of a 2530-g neonate was accomplished with assistance by a vacuum extractor. Apgar scores were 3, 6, and 7 at 1, 5, and 10 minutes, respectively. Umbilical artery blood gas revealed a pH of 7.18 and base excess of -6. A head sonogram and electroencephalogram were normal. Both mother and infant were discharged without complications. Conclusion: After entrapment of the aftercoming head during attempted vaginal breech delivery, use of the vacuum extractor may expedite the abdominal rescue and cesarean.
AB - Background: Fetal replacement into the uterus for cesarean delivery after failed vaginal delivery has been reported for both vertex and breech presentations. Although an option, this mode of delivery frequently is the last maneuver to deliver a viable infant after other methods to allow vaginal delivery have failed. We report the adjunctive use of a vacuum extractor to facilitate abdominal rescue after entrapment of the aftercoming head during an attempted vaginal breech delivery. Case: A multiparous woman presented at term with two fetal feet bulging through the membranes at the introitus. During vaginal breech delivery, the aftercoming head became entrapped. Unsuccessful maneuvers to facilitate descent included Duhrssen incisions, the Mauriceau maneuver, placement of Piper forceps, and halothane administration. At emergency cesarean delivery, the infant was pushed upward from below, and rapid, successful delivery of a 2530-g neonate was accomplished with assistance by a vacuum extractor. Apgar scores were 3, 6, and 7 at 1, 5, and 10 minutes, respectively. Umbilical artery blood gas revealed a pH of 7.18 and base excess of -6. A head sonogram and electroencephalogram were normal. Both mother and infant were discharged without complications. Conclusion: After entrapment of the aftercoming head during attempted vaginal breech delivery, use of the vacuum extractor may expedite the abdominal rescue and cesarean.
UR - http://www.scopus.com/inward/record.url?scp=0027982540&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0027982540&partnerID=8YFLogxK
M3 - Article
C2 - 9205433
AN - SCOPUS:0027982540
VL - 84
SP - 644
EP - 646
JO - Obstetrics and Gynecology
JF - Obstetrics and Gynecology
SN - 0029-7844
IS - 4 II SUPPL.
ER -