Benefits, Harms, and Costs
Abbreviations:AVB (assisted vaginal birth), IFH (impacted fetal head)
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- Inpatient Hospitalizations, Surgeries and Newborn Indicators, 2016–2017.2018 (Available from:)
- Personal Communication. Maternal Newborn Death Review Committee of Ontario.2019
- Maternal and neonatal outcome of reverse breech extraction of an impacted fetal head during caesarean section in advanced stage of labour: a retrospective cohort study.BMC Pregnancy Childbirth. 2019; 19 (Available from:): 98
- Delivery of an Impacted Fetal Head During Cesarean: A Literature Review and Proposed Management Algorithm.Obstet Gynecol Surv. 2015; 70 (Available from:): 719-724
- Maternal and perinatal morbidity of caesarean delivery at full cervical dilatation compared with caesarean delivery in the first stage of labour.BJOG. 2005; 112 (Available from:): 986-990
- Head pushing versus reverse breech extraction in cases of impacted fetal head during Cesarean section.Eur J Obstet Gynecol Reprod Biol. 2005; 121 (Available from:): 24-26
- Reducing complications associated with a deeply engaged head at caesarean section: a simple instrument.The Obstetrician & Gynaecologist. 2008; 10 (Available from:): 38-41
- Diabetes and Pregnancy.Can J Diabetes. 2018; 42 (Available from:): S255-SS82
- Management of Spontaneous Labour at Term in Healthy Women.J Obstet Gynaecol Can. 2016; 38 (Available from:): 843-865
- No. 381-Assisted Vaginal Birth.J Obstet Gynaecol Can. 2019; 41 (Available from:): 870-882
- Abdominovaginal delivery: modification of the cesarean section operation to facilitate delivery of the impacted head.Am J Obstet Gynecol. 1984; 148 (Available from:): 707-710
- Intravenous nitroglycerin for rapid uterine relaxation.Acta Obstet Gynecol Scand. 1998; 77 (Available from:): 50-53
- Comparison of techniques used to deliver a deeply impacted fetal head at full dilation: a systematic review and meta-analysis.BJOG. 2016; 123 (Available from:): 337-345
- Reverse breech extraction versus the standard approach of pushing the impacted fetal head up through the vagina in caesarean section for obstructed labour: A randomised controlled trial.J Obstet Gynaecol. 2017; 37 (Available from:): 459-463
- Techniques for assisting difficult delivery at caesarean section.Cochrane Database Syst Rev. 2016; (Available from:)CD004944
- Cephalic extraction versus breech extraction in second-stage caesarean section: a retrospective study.BJOG. 2020; 127 (Available from:): 1568-1574
- Reverse breech extraction versus head pushing in cesarean section for obstructed labor. A comparative study in Yemen.Saudi Med J. 2011; 32 (Available from:): 1261-1266
- Cesarean section.J Obstet Gynaecol India. 1957; 8: 1-15
- Cesarean section in a wedged head.Indian J Med Sci. 2003; 57 (Available from:): 187-191
- Caesarean section at full dilatation: incidence, impact and current management.The Obstetrician & Gynaecologist. 2014; 16 (Available from:): 199-205
- Experiences with the Murless head extractor in cesarean section.J Am Med Assoc. 1952; 150 (Available from:): 1209-1212
- A comparative study between modified Patwardhan technique and Foetal Pillow during caesarean section in full dilatation in cases of deeply engaged foetal head.IOSR Journal of Dental and Medical Sciences. 2019; 18 (Available from:): 1-7
- Randomized controlled trial of elevation of the fetal head with a fetal pillow during cesarean delivery at full cervical dilatation.Int J Gynaecol Obstet. 2016; 133 (Available from:): 178-182
- Cephalic Elevation Device for Second-Stage Cesarean Delivery: A Randomized Controlled Trial.Obstet Gynecol. 2020; 135 (Available from:): 879-884
This document reflects emerging clinical and scientific advances as of the publication date and is subject to change. The information is not meant to dictate an exclusive course of treatment or procedure. Institutions are free to amend the recommendations. The SOGC suggests, however, that they adequately document any such amendments.
Informed Consent: Everyone has the right and responsibility to make informed decisions about their care together with their health care providers. In order to facilitate this, the SOGC recommends that health care providers provide patients with information and support that is evidence-based, culturally appropriate, and personalized.
Language and Inclusivity: While the SOGC as a rule uses gendered language, in respect for our mission to advance women's health, there are contexts in which it is important to use gender neutral language, and to be fully inclusive. The SOGC recognizes and respects the rights of all people for whom the information in this document may apply, including but not limited to transgender, non-binary, and intersex people. The SOGC encourages healthcare providers to engage in respectful conversation with their patients about their gender identity and preferred gender pronouns and to apply these guidelines in a way that is sensitive to each person's needs.
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