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Techniques for managing an impacted fetal head at caesarean section: A systematic review
Amelia Gq Peak1, Elena Barwise1, Kate F Walker1
1Centre for Perinatal Research, School of Medicine, University of Nottingham, Nottingham, United Kingdom.
European Journal of Obstetrics, Gynecology, and Reproductive Biology
|December 16, 2022
Summary
Impacted fetal head during cesarean birth is a serious complication. Reverse breech extraction appears safer than the push method, but more research is needed to determine the best technique for managing this obstetric emergency.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Surgical Complications
Background:
- Impacted fetal head is an obstetric emergency during cesarean birth, occurring in 16% of second-stage procedures.
- Current management techniques lack consensus on optimal maternal and neonatal outcomes.
Conclusions:
- Evidence suggests reverse breech extraction may offer better outcomes than the push method for impacted fetal head during cesarean section.
- Further high-quality, adequately powered randomized controlled trials are necessary to definitively determine the optimal management strategy.
