[Extraction of the head at breech delivery].
OBJECTIVE
Review of method of head extraction at breech delivery.


METHODS
Review of literature.


METHODS
Department Gynecology and Obstetric Nemocnice Milosrdných bratrí, Brno.


METHODS
Review of textbooks, articles obtained through MEDLINE and authors' experience.


RESULTS
Entrapment of head at breech delivery is a serious complication in about 8% deliveries. Two methods for extraction of head are available: forceps and manual maneuver. We compare advantage and disadvantage of both approaches and their evaluation in literature particularly in the Czech one. We describe own experience with forceps for after coming head.


CONCLUSIONS
We find no evidence that these two methods exert different influence on perinatal outcome. Preference of one of them depends on tradition and conventions of the department. Obstetrician, familiar with forceps for cephalic presentation, need not be afraid to use this procedure for after coming head.
Gynekologicko-porodnické oddĕlení, Nemocnice Milosrdných bratrí, Brno.
J
J
Nagy
I
I
Huvar
D001946:Breech Presentation; D005113:Extraction, Obstetrical / Q000379:methods*; D005260:Female; D006257:Head; D006801:Humans; D011247:Pregnancy