title: Abdominovaginal delivery: modification of the cesarean section operation to facilitate delivery of the impacted head.
abstract: The abdominovaginal delivery is a modification of the cesarean section operation in the presence of an impacted fetal head, usually after a prolonged second stage of labor with ruptured membranes. With the legs abducted in either the "Whitmore" or the "frog" position, the wedged vertex is gently lifted with the cupped hand into the open transverse uterine incision, thereby reducing injury to the fetal head and the uterus. With the greater use of cesarean section operation and the sharp reduction in rotational and midforceps deliveries, the abdominovaginal procedure has an increasingly important place in our obstetric armamentarium.
mesh_terms: D002585:Cesarean Section / Q000379:methods*; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D006801:Humans; D007746:Labor Presentation; D011247:Pregnancy