- 作者：Firoozeh Veisi ; firoozehveisi@yahoo.com ; Maryam Zangeneh ; Shohreh Malekkhosravi ; Negin Rezavand
- 关键词：Deep transverse arrest ; Impacted fetal head ; Reverse breech extraction ; Wedged fetal head
- 刊名：International Journal of Gynecology and Obstetrics
- 出版年：2012
- 期刊代码：130_00207292
- 类别：med
- 出版时间：July, 2012
- 卷：118
- 期：1
- 页码：4-6
- 文件大小：101 K
Objective
To compare maternal and neonatal outcomes associated with the 鈥減ush鈥?and 鈥減ull鈥?methods for impacted fetal head extraction during cesarean delivery.Methods
A prospective study was conducted at Imam Reza Hospital, Kermanshah, Iran, from April 2006 to March 2008. After failed vacuum extraction, women with obstructed labor caused by impacted fetal head were randomly assigned to deliver via the push method (n = 35) or the pull method (n = 37). The outcomes investigated included operation time, operative blood loss, incidence of extension of the uterine incision, and postpartum fever. Data were analyzed using 蠂2 and Student t tests.
Results
Mean operative time and incidence of extension of the uterine incision were significantly increased in the group that delivered via the push method (P < 0.001). There were no significant differences in the other maternal and neonatal morbidities between the groups, although there was 1 case of neonatal femoral fracture in the pull group.
Conclusion
Although the pull method may lead to some neonatal complications, it is associated with lower maternal morbidity than the push method when used for impacted fetal head extraction during cesarean delivery.