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Delivery of a second twin in cephalic presentation or transverse lie: version to bring the foetus into the breech position and allow a total breech extraction (Chapter 6, Section 6.3). Conditions necessary in all cases: normal pelvis, presenting part not engaged, bladder empty.
- 7.6 Transverse Lie and Shoulder Presentation
Attempt external version as early as possible. If this...
- 7.3 Labour Induction
During the vaginal examination, if the cervix is open,...
- 7.5 Shoulder Dystocia
7.8 Internal version; 7.9 Face presentation; 7.10 Brow...
- 7.2 Obstructed Labour
Breech: retention of aftercoming head; Transverse: neglected...
- 7.1 Prolonged Labour
For other presentations, see breech presentation (Chapter 6,...
- 7.9 Face Presentation
Version: internal podalic version, then total breech...
- 7.10 Brow Presentation
Attempt internal podalic version (Section 7.9). Both these...
- 7.4 The Use of Oxytocin During Labour
7.7 External version; 7.8 Internal version; 7.9 Face...
- 7.6 Transverse Lie and Shoulder Presentation
27 cze 2024 · What Is the Internal Podalic Version? Internal podalic version (IPV) is a medical procedure performed during childbirth. It is also known as "breech extraction." IPV involves a healthcare provider manually repositioning a fetus inside the uterus when it is in a breech (feet-first) presentation.
26 sty 2011 · Internal podalic version with breech extraction. The Obstetrician & Gynaecologist 2011;13:7–14. Read the full text. PDF. Tools. References. Citing Literature. Volume 13, Issue 1. January 2011. Pages 7-14.
When internal podalic version and breech extraction was performed as the first attempt, successful vaginal delivery occurred in 96% of patients. When ECV was performed as the primary delivery attempt, successful vaginal delivery occurred in only 46% of patients.
25 lip 2024 · A breech extraction refers to the procedure in which the infant's feet are grasped by the operator and the fetus is extracted from the uterine cavity through the vagina. It is performed for the...
In caesarean sections for transverse presentation, external or internal podalic version can be used to allow delivery as a breech. It is beneficial to leave the membranes intact whilst manipulating the fetus.
4 kwi 2022 · Podalic version and breech extraction require high obstetrical expertise. Identifying fetal extremities is the first crucial step for trainees. When this skill is not polished enough, it increases the inter-twin delivery interval and can even jeopardize the whole manoeuver.