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Old procedures are still valuable: avoiding unnecessary cesarean section to decrease risk in the next pregnancy.

Shazia Fakhar1, Gulshan Saeed

  • 1Shifa College of Medicine, Islamabad, Pakistan. drshaziaf@yahoo.com

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PubMed
Summary
This summary is machine-generated.

Obstetricians can avoid cesarean sections in complex cases like face presentation and transverse lie with intrauterine fetal demise by skillfully applying alternative obstetric procedures, preserving essential clinical skills.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Rising cesarean section rates have contributed to a decline in traditional obstetric procedural skills among practitioners.
  • This skill degradation poses challenges in managing complex obstetric emergencies.

Observation:

  • Case 1: A face presentation in the mentoposterior position with intrauterine fetal death.
  • Case 2: A transverse lie with a prolapsed hand and intrauterine fetal death.

Findings:

  • Despite the high likelihood of cesarean delivery, both cases were successfully managed without surgical intervention.
  • Application of alternative, non-surgical obstetric maneuvers proved effective in resolving the complex presentations.

Implications:

  • Demonstrates the potential to retain and utilize critical obstetric skills even with increasing cesarean rates.
  • Highlights the importance of skilled vaginal delivery techniques in specific obstetric emergencies.
  • Suggests a need for continued training and emphasis on traditional obstetric procedures.