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Cesarean section in a wedged head.

A H Khosla¹, K Dahiya, K Sangwan

¹Department of Obstetrics and Gynaecology, Pt. B.D. Sharma PGIMS, Rohtak. anjuhuria@rediffmail.com

Indian Journal of Medical Sciences

|September 30, 2003

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Patwardhan's technique for Cesarean section delivery effectively prevents incision extension during difficult births. This method significantly reduces the risk of maternal hemorrhage compared to standard techniques.

Area of Science:

Obstetrics and Gynecology
Surgical Techniques

Background:

Cesarean sections are sometimes necessary late in labor when fetal heads are deeply engaged.
Standard surgical techniques risk incision extension, leading to complications like maternal hemorrhage.

Purpose of the Study:

To evaluate Patwardhan's technique for Cesarean section in cases of deep fetal head engagement.
To compare fetomaternal outcomes between Patwardhan's technique and standard methods.

Main Methods:

Retrospective review of Cesarean sections performed with and without Patwardhan's technique.
Comparison of intraoperative complications, specifically incision extension and associated hemorrhage.

Main Results:

Patwardhan's technique demonstrated no incision extension laterally, superiorly, or inferiorly.

Related Experiment Videos

Hemorrhage requiring transfusion occurred in 24% of patients not using the technique, versus 0% in the Patwardhan's group.

Conclusions:

Patwardhan's technique is a safe and effective method for Cesarean delivery with deeply engaged fetal heads.
This technique significantly reduces the incidence of surgical site extension and subsequent maternal hemorrhage.