ABDOMINAL RESCUE AFTER FAILED CEPHALIC REPLACEMENT
BACKGROUNDSince the introduction of cephalic replacement for shoulder dystocia, the management of failures has not been addressed. The purpose of this report is to describe abdominal hysterotomy as an alternative approach to the resolution of shoulder dystocia. CASEA 21-year-old woman, gravida 1, ex...
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| Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 1992-09, Vol.80 (3, Part 2), p.514-516 |
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| container_issue | 3, Part 2 |
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| container_title | Obstetrics and gynecology (New York. 1953) |
| container_volume | 80 |
| creator | OʼLeary, James A Cuva, Anthony |
| description | BACKGROUNDSince the introduction of cephalic replacement for shoulder dystocia, the management of failures has not been addressed. The purpose of this report is to describe abdominal hysterotomy as an alternative approach to the resolution of shoulder dystocia.
CASEA 21-year-old woman, gravida 1, experienced severe shoulder dystocia following partial delivery of a 4320-g infant. Classical maneuvers as well as cephalic replacement were unsuccessful before and after general anesthesia. A low transverse hysterotomy permitted manual rotation of the anterior shoulder to the oblique diameter and further descent of the posterior shoulder. Delivery of the posterior arm was then completed without difficulty.
CONCLUSIONPersistent failed cephalic replacement, especially after general anesthesia, can be successfully resolved with a hysterotomy using a low transverse uterine incision. |
| format | Article |
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CASEA 21-year-old woman, gravida 1, experienced severe shoulder dystocia following partial delivery of a 4320-g infant. Classical maneuvers as well as cephalic replacement were unsuccessful before and after general anesthesia. A low transverse hysterotomy permitted manual rotation of the anterior shoulder to the oblique diameter and further descent of the posterior shoulder. Delivery of the posterior arm was then completed without difficulty.
CONCLUSIONPersistent failed cephalic replacement, especially after general anesthesia, can be successfully resolved with a hysterotomy using a low transverse uterine incision.</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>PMID: 1495726</identifier><identifier>CODEN: OBGNAS</identifier><language>eng</language><publisher>New York, NY: The American College of Obstetricians and Gynecologists</publisher><subject>Adult ; Biological and medical sciences ; Cesarean Section ; Delivery. Postpartum. Lactation ; Disorders ; Dystocia - etiology ; Dystocia - surgery ; Female ; Fetal Macrosomia - complications ; Gynecology. Andrology. Obstetrics ; Humans ; Labor Presentation ; Medical sciences ; Pregnancy ; Shoulder</subject><ispartof>Obstetrics and gynecology (New York. 1953), 1992-09, Vol.80 (3, Part 2), p.514-516</ispartof><rights>1992 The American College of Obstetricians and Gynecologists</rights><rights>1992 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=5557147$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1495726$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>OʼLeary, James A</creatorcontrib><creatorcontrib>Cuva, Anthony</creatorcontrib><title>ABDOMINAL RESCUE AFTER FAILED CEPHALIC REPLACEMENT</title><title>Obstetrics and gynecology (New York. 1953)</title><addtitle>Obstet Gynecol</addtitle><description>BACKGROUNDSince the introduction of cephalic replacement for shoulder dystocia, the management of failures has not been addressed. The purpose of this report is to describe abdominal hysterotomy as an alternative approach to the resolution of shoulder dystocia.
CASEA 21-year-old woman, gravida 1, experienced severe shoulder dystocia following partial delivery of a 4320-g infant. Classical maneuvers as well as cephalic replacement were unsuccessful before and after general anesthesia. A low transverse hysterotomy permitted manual rotation of the anterior shoulder to the oblique diameter and further descent of the posterior shoulder. Delivery of the posterior arm was then completed without difficulty.
CONCLUSIONPersistent failed cephalic replacement, especially after general anesthesia, can be successfully resolved with a hysterotomy using a low transverse uterine incision.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cesarean Section</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Disorders</subject><subject>Dystocia - etiology</subject><subject>Dystocia - surgery</subject><subject>Female</subject><subject>Fetal Macrosomia - complications</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Labor Presentation</subject><subject>Medical sciences</subject><subject>Pregnancy</subject><subject>Shoulder</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kNtKw0AQhhdRaq0-gtAL8S6wx-zuZUy3NpAeqC14FzbpLK2mB7MNxbd3ocGLYRi-j2Hmv0F9oiSLKGOft6iPMdWRVJzfowfvvzDGJNash3qEayFp3Ec0eRvNp9ksyYdL85GuzTAZr8xyOE6y3IyGqVlMkjxLA1zkSWqmZrZ6RHfO1h6euj5A67FZpZMon79naZJHJ6owj6ywGmhcxgDSCacrcNpSp8BqikWpNoKVJSex0so54GxDNbZclWAlcBxjNkCv172n5vjTgj8X-52voK7tAY6tLyQjWCtOgvjciW25h01xanZ72_wW3ZOBv3Tc-srWrrGHauf_NSGEJFwGjV-1y7E-Q-O_6_YCTbEFW5-3RcgOx1TgiOhwvw5TFEpw9gdQd2Uq</recordid><startdate>199209</startdate><enddate>199209</enddate><creator>OʼLeary, James A</creator><creator>Cuva, Anthony</creator><general>The American College of Obstetricians and Gynecologists</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>199209</creationdate><title>ABDOMINAL RESCUE AFTER FAILED CEPHALIC REPLACEMENT</title><author>OʼLeary, James A ; Cuva, Anthony</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p2804-a5a9e26b6ee7f5f9cef9a2f8ea9205b8d53bb416898ffe43d290a48bea7e40603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cesarean Section</topic><topic>Delivery. Postpartum. Lactation</topic><topic>Disorders</topic><topic>Dystocia - etiology</topic><topic>Dystocia - surgery</topic><topic>Female</topic><topic>Fetal Macrosomia - complications</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Labor Presentation</topic><topic>Medical sciences</topic><topic>Pregnancy</topic><topic>Shoulder</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>OʼLeary, James A</creatorcontrib><creatorcontrib>Cuva, Anthony</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>OʼLeary, James A</au><au>Cuva, Anthony</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>ABDOMINAL RESCUE AFTER FAILED CEPHALIC REPLACEMENT</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>1992-09</date><risdate>1992</risdate><volume>80</volume><issue>3, Part 2</issue><spage>514</spage><epage>516</epage><pages>514-516</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><coden>OBGNAS</coden><abstract>BACKGROUNDSince the introduction of cephalic replacement for shoulder dystocia, the management of failures has not been addressed. The purpose of this report is to describe abdominal hysterotomy as an alternative approach to the resolution of shoulder dystocia.
CASEA 21-year-old woman, gravida 1, experienced severe shoulder dystocia following partial delivery of a 4320-g infant. Classical maneuvers as well as cephalic replacement were unsuccessful before and after general anesthesia. A low transverse hysterotomy permitted manual rotation of the anterior shoulder to the oblique diameter and further descent of the posterior shoulder. Delivery of the posterior arm was then completed without difficulty.
CONCLUSIONPersistent failed cephalic replacement, especially after general anesthesia, can be successfully resolved with a hysterotomy using a low transverse uterine incision.</abstract><cop>New York, NY</cop><pub>The American College of Obstetricians and Gynecologists</pub><pmid>1495726</pmid><tpages>3</tpages></addata></record> |
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| ispartof | Obstetrics and gynecology (New York. 1953), 1992-09, Vol.80 (3, Part 2), p.514-516 |
| issn | 0029-7844 1873-233X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_73109841 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Biological and medical sciences Cesarean Section Delivery. Postpartum. Lactation Disorders Dystocia - etiology Dystocia - surgery Female Fetal Macrosomia - complications Gynecology. Andrology. Obstetrics Humans Labor Presentation Medical sciences Pregnancy Shoulder |
| title | ABDOMINAL RESCUE AFTER FAILED CEPHALIC REPLACEMENT |
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