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High fetal head in cesarean link between delivery methods and complications
Jun Zhou1, Shengyan Mao1, Jie Lin1
1Department of Obstetrics, West China Longquan Hospital Sichuan University/The First People's Hospital of Longquanyi District, Chengdu, China.
Annals of Medicine
|January 22, 2026
Summary
Single-blade forceps are superior for delivering high-positioned fetal heads during cesarean sections. This method significantly reduces delivery time, neonatal complications like birth injury, and maternal issues.
Area of Science:
- Obstetrics
- Surgical Techniques
Background:
- Cesarean section (CS) is a common surgical procedure.
- Managing high-positioned fetal heads during CS presents unique challenges.
Purpose of the Study:
- To compare the efficacy and safety of different delivery methods for high-positioned fetal heads during cesarean sections.
- To investigate the correlation between delivery techniques and obstetric complications.
Main Methods:
- Retrospective analysis of 236 cesarean section patients with high-floating fetal heads.
- Comparison of manual delivery, single-blade forceps, and double-blade forceps groups.
- Evaluation of perioperative outcomes including delivery time, Apgar scores, and maternal/fetal complications.
Main Results:
- The single-blade forceps group demonstrated the shortest delivery time (p=0.000).
- Higher 1-minute Apgar scores were observed in the single-blade forceps group compared to the manual group (p=0.010).
- The single-blade forceps group exhibited the lowest incidence of birth injury (p=0.000).
Conclusions:
- Single-blade forceps significantly shorten delivery time in cases of high-positioned fetal heads during cesarean sections.
- This method effectively reduces neonatal asphyxia, birth injury, and associated maternal complications.
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