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Re: Delivery of the impacted head From: Malcolm Griffiths (Malcolm@mgriff22.demon.co.uk) Thu Nov 28 15:26:33 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Malcolm Griffiths: "Re: Pregnancy after breast cancer" Previous message: Harrison Sheld: "Re: OB-GYN-L digest 727" In reply to: Danny Tucker: "Delivery of the impacted head" Next in thread: A.P. VAN DER COLF: "Re: Delivery of the impacted head" In message <Bt1+WIAb5InyEwrS@dial.pipex.com>, Danny Tucker <danny.tucker@dial.pipex.com> writes >I would be interested in others opinion on a method of delivering the >impacted head at c/s. > >When disimpaction is a problem and the head is way down the vagina, one >of our Ob's has on several recent occasions reached up to the fundus and >delivered the breech, then lifted the head out from the pelvis. > >Any comments on this approach? > Only once have I ever thought it necessary to try this - couldn't get enough room to get it to work ! Get someone competent to put a hand in the vagina and push it up from down below. If you're doing a CS after failed trial of forceps/ventouse consider pushing the head up before putting the legs down from lithotomy anyway. -- Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK. Tel: 01582-497459 (office) 01525-222849 (home) Fax: 01582-497424 email: Malcolm@mgriff22.demon.co.uk "It is dangerous to be right on a subject on which the established authorities are wrong." (Voltaire) Next message: Malcolm Griffiths: "Re: Pregnancy after breast cancer" Previous message: Harrison Sheld: "Re: OB-GYN-L digest 727" In reply to: Danny Tucker: "Delivery of the impacted head" Next in thread: A.P. VAN DER COLF: "Re: Delivery of the impacted head"

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