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Updated: Aug 18, 2026

The Perinatal Asphyxiated Lamb Model: A Model for Newborn Resuscitation
Published on: August 15, 2018
[Extraction of the head at breech delivery]
Objective:
Review of method of head extraction at breech delivery.
Design:
Review of literature.
Setting:
Department Gynecology and Obstetric Nemocnice Milosrdných bratrí, Brno.
Methods:
Review of textbooks, articles obtained through MEDLINE and authors' experience.
Results:
Entrapment of head at breech delivery is a serious complication in about 8% deliveries. Two methods for extraction of head are available: forceps and manual maneuver. We compare advantage and disadvantage of both approaches and their evaluation in literature particularly in the Czech one. We describe own experience with forceps for after coming head.
Conclusion:
We find no evidence that these two methods exert different influence on perinatal outcome. Preference of one of them depends on tradition and conventions of the department. Obstetrician, familiar with forceps for cephalic presentation, need not be afraid to use this procedure for after coming head.
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