Reverse Breech Extraction Versus Push Technique for Fetal Delivery When Fetal Head is Deeply Impacted in the Pelvis During CS on A Fully Dilated Cervix

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-01-01

Study Completion Date

2023-02-28

Brief Summary

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Management of impacted fetal head during second stage cesarean requires careful and gentle attention to various surgical steps for delivery of a fetus without adverse maternal and neonatal outcomes, mostly by an experienced surgeon as in such situations, the lower uterine segment may be over-distended and indistinguishable from the vagina. Therefore, the uterine incision may inadvertently be placed too low, or in the vagina.

Also, it may be difficult for the operating surgeon to maneuver his hand below the deeply engaged fetal head, which may be further compounded by the presence of molding and edema on the fetal head (caput succedaneum).

This prospective controlled study was conducted at labor ward of department of obstetrics and gynecology at Ain Shams University Maternity Hospital to compare between the two techniques. A total of 70 pregnant women were enrolled and divided into two equal groups.

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Detailed Description

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Conditions

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Obstructed Labor at Second Stage of Labor

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Women allocated to this group will deliver by using reverse breech extraction technique.

Group Type ACTIVE_COMPARATOR

reverse breech extraction technique or push technique

Intervention Type PROCEDURE

using reverse breech extraction technique or push technique for disimpaction of fetal head during cs of a fully dilated cervix

Women allocated to this group will deliver by using Push technique.

Group Type ACTIVE_COMPARATOR

reverse breech extraction technique or push technique

Intervention Type PROCEDURE

using reverse breech extraction technique or push technique for disimpaction of fetal head during cs of a fully dilated cervix

Interventions

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reverse breech extraction technique or push technique

using reverse breech extraction technique or push technique for disimpaction of fetal head during cs of a fully dilated cervix

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* • Singleton pregnancies.

* Cephalic presentation will undergo cesarean section in advanced labor with the fetal head deeply engaged in the pelvis defined as fully dilated cervix and vertex at or below zero station

Exclusion Criteria

* • Twins Pregnancies.

* Breech or transverse presentation.
* Woman has other obstetric indication to cs ex, fetal distress.
* Woman has risk factor for bleeding ex, bleeding disorders

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No