title: Abdominal disimpaction with lower uterine segment support as a novel technique to minimize fetal and maternal morbidities during cesarean section for obstructed labor: a case series.
abstract: Cesarean section for obstructed labor remains a difficult procedure that may be associated with serious fetal and maternal injuries. In this case series, we evaluated the use of abdominal disimpaction with lower segment support as a novel technique to minimize morbidities. Eight patients who underwent cesarean section for obstructed labor were recruited. Impacted fetal head was delivered using this technique and uterine extensions, bladder injury, vaginal injury, and intraoperative bleeding were reported. Maternal and neonatal outcomes were observed postoperatively. No major morbidities were reported. Accordingly, we consider this technique as a promising step to minimize complications during cesarean section for obstructed labor.
authors.affiliation: Woman's Health Center, Assiut University, Assiut, Egypt. Dr_sherif_shazly@yahoo.com
authors.forename: Sherif A M
authors.initials: SA
authors.lastname: Shazly
authors.forename: Ahmed H
authors.initials: AH
authors.lastname: Elsayed
authors.forename: Sherif M A
authors.initials: SM
authors.lastname: Badran
authors.forename: Ahmed Y
authors.initials: AY
authors.lastname: Abdel Badee
authors.forename: Mohammed K
authors.initials: MK
authors.lastname: Ali
mesh_terms: D000328:Adult; D052178:Cephalopelvic Disproportion / Q000601:surgery*; D002585:Cesarean Section / Q000379:methods*; D005260:Female; D006801:Humans; D007744:Obstetric Labor Complications / Q000517:prevention & control / Q000601:surgery*; D011247:Pregnancy; D014599:Uterus / Q000601:surgery*