Reverse Breech Extraction Versus Push Technique for Fetal Delivery When Fetal Head is Deeply Impacted in the Pelvis During CS on A Fully Dilated Cervix

Status

UNKNOWN

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT05707650

Enrollment

Registered

2023-02-01

Start date

2022-01-01

Completion date

2023-02-28

Last updated

2023-02-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Obstructed Labor at Second Stage of Labor

Brief summary

Management of impacted fetal head during second stage cesarean requires careful and gentle attention to various surgical steps for delivery of a fetus without adverse maternal and neonatal outcomes, mostly by an experienced surgeon as in such situations, the lower uterine segment may be over-distended and indistinguishable from the vagina. Therefore, the uterine incision may inadvertently be placed too low, or in the vagina. Also, it may be difficult for the operating surgeon to maneuver his hand below the deeply engaged fetal head, which may be further compounded by the presence of molding and edema on the fetal head (caput succedaneum). This prospective controlled study was conducted at labor ward of department of obstetrics and gynecology at Ain Shams University Maternity Hospital to compare between the two techniques. A total of 70 pregnant women were enrolled and divided into two equal groups.

Interventions

PROCEDUREreverse breech extraction technique or push technique

using reverse breech extraction technique or push technique for disimpaction of fetal head during cs of a fully dilated cervix

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

NONE

Eligibility

Sex/Gender

FEMALE

Healthy volunteers

Inclusion criteria

* • Singleton pregnancies. * Cephalic presentation will undergo cesarean section in advanced labor with the fetal head deeply engaged in the pelvis defined as fully dilated cervix and vertex at or below zero station

Exclusion criteria

* • Twins Pregnancies. * Breech or transverse presentation. * Woman has other obstetric indication to cs ex, fetal distress. * Woman has risk factor for bleeding ex, bleeding disorders

Design outcomes

Primary

Measure	Time frame	Description
Uterine incision extension	intra-operative	uterine extensions will include angle extensions on lower segments and into the broad ligaments.

Countries

Egypt

Contacts

Primary Contactebtihal ahmed, baccalaureus

betoooo_b2@yahoo.com01062477324

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026