Symphysiotomy for feto-pelvic disproportion

Hofmeyr, G Justus; Shweni, P Mike

doi:10.1002/14651858.cd005299.pub3

Cited by 6 publications

(2 citation statements)

References 25 publications

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“…Some doctors apply pressure to the fundus simultaneously during vacuum-assisted delivery, especially in areas where cesarean section carries greater risks (Figure n. 1-13). In some low-income settings where a cesarean section is inaccessible or highly dangerous, symphysiotomy could be performed if vacuum-assisted delivery fails and recourse to the operating room is impossible or undesirable [18]. It is essential to provide post-procedure assistance in every vacuum-assisted delivery (Box 3).…”

Section: Materials and Techniquementioning

confidence: 99%

The Use of the Obstetric Vacuum Extractor for Rotational and Non-Rotational Vaginal Delivery

Felis,

Cremonini,

Primizia

et al. 2023

JSCR

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Vacuum-assisted birth is a safe delivery method when performed by a skilled provider. Vacuum extraction can prevent prolonged second stage of labor, birth asphyxia in the presence of fetal distress, or when maternal pushing is contraindicated. However, vacuum-assisted births, especially those involving mid-pelvic rotational deliveries, have increasingly been replaced by cesarean sections, even though they generally carry a potentially higher risk for women and future children. This article provides detailed information on the indications and contraindications of vacuum-assisted birth, as well as the basic principles of the vacuum technique. It also includes a dedicated section on vacuum extraction for rotational births. When obstetric caregivers are knowledgeable, trained, and experienced in these techniques, vacuum extraction can greatly enhance the safety of childbirth.

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Section: Materials and Techniquementioning

confidence: 99%

The Use of the Obstetric Vacuum Extractor for Rotational and Non-Rotational Vaginal Delivery

Felis,

Cremonini,

Primizia

et al. 2023

JSCR

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“…The 2010 Cochrane analysis, recognizing the "controversy surrounding the use of symphysiotomy" but fi nding no randomized trials, calls on "professional and global bodies [to] provide guidelines." 11 Meanwhile, according to the best international meta-analyses, 12,13 the advantages of symphysiotomy are incontrovertible when specifi c, well-defi ned indications are present.…”

Section: It's a Story About Being A Guest-not A Gurumentioning

confidence: 99%

Indication

Pust¹

2012

The Annals of Family Medicine

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Should the indications for therapies differ from one nation to the next? What are the reasons behind controversial therapeutic variations? What roles do cultural history and authoritarian confl ict among clinicians play in the adoption of therapies? When I worked at a rural hospital in Kenya, a woman experiencing obstructed labor made me ponder many questions-but only after our emergency ended in the death of her newborn son. In recounting and learning from this episode, I listened to the disparate Kenyan voices of the patient, the hospital's director, the consultant obstetrician, and to the even more controversial voices of evidence-based medicine. In refl ecting on this process, I have learned at least 3 lessons-about the transmissibility of arrogance, the role of guests in other countries, and the nature of science.

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Planned caesarean section for term breech delivery

Hofmeyr

Hannah

Lawrie³

2015

Cochrane Database of Systematic Reviews

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175

113

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Analysis 1.4. Comparison 1 Planned caesarean section for term breech presentation, Outcome 4 5 minute Apgar < 7. Analysis 1.5. Comparison 1 Planned caesarean section for term breech presentation, Outcome 5 5 minute Apgar < 4. Analysis 1.6. Comparison 1 Planned caesarean section for term breech presentation, Outcome 6 Cord blood pH < 7.0. Analysis 1.7. Comparison 1 Planned caesarean section for term breech presentation, Outcome 7

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Symphysiotomy for feto-pelvic disproportion

Cited by 6 publications

References 25 publications

The Use of the Obstetric Vacuum Extractor for Rotational and Non-Rotational Vaginal Delivery

The Use of the Obstetric Vacuum Extractor for Rotational and Non-Rotational Vaginal Delivery

Indication

Planned caesarean section for term breech delivery

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