Management of deeply engaged and floating fetal presentations at cesarean delivery
- James Greenberg, MD
James Greenberg, MD
- Associate Professor of Obstetrics, Gynecology and Reproductive Biology
- Harvard Medical School
Fetal extraction is difficult in 1 to 2 percent of cesarean deliveries . Causes include:
●Impacted fetal head
●Floating fetal head
●Extremely low birth weight fetus
●Breech or transverse fetal lieTo continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information on subscription options, click below on the option that best describes you:
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- GENERAL PRINCIPLES
- DEEPLY ENGAGED FETAL HEAD
- Reverse breech extraction ("pull method")
- Abdominovaginal delivery ("push method")
- Fetal head elevator, obstetrical spoon
- - Obstetrical spoons
- - Fetal head elevators
- Shoulders first techniques
- Vacuum extraction
- UNENGAGED, FLOATING FETAL HEAD
- Internal podalic version
- Extraction with vacuum, obstetrical spoon, or forceps
- SUMMARY AND RECOMMENDATIONS