Pushpa Dahiya
National University of Science and Technology Muscat, Oman
Title: Is “Shoulder First Technique†a safe alterna ve to deliver deeply wedged fetal head during cesarean section?
Biography
Biography: Pushpa Dahiya
Abstract
Cesarean section is the most common obstetric operation. Th e incidence of cesarean section varies world wide. As per World Health Organization (WHO) ideal rate of C-section should not exceed 10-15 per cent, but it’s far more than this especially in developing countries. Caesarean section in second stage of labour accounts for one-fourth of all primary caesarean sections especially in tertiary care hospitals in India where the laboring women are transferred once they fail to deliver vaginally. Th e second stage cesarean section with impacted foetal heads are technically diffi cult and are associated with high rate of maternal and foetal morbidities. Diff erent techniques have been used for decades to extract fetal head in late second stage of labor to reduce the maternal complications like extension of uterine incision, hemorrhage and fetal morbidities. A prospective study was conducted over a period of two years in tertiary care hospital to evaluate the effi cacy of shoulder fi rst technique in women undergoing cesarean section in second stage of labor for any maternal/fetal indication and this technique was compared with the other methods of fetal head delivery in late second stage of labor. At the end of study the observation was that with the shoulder fi rst technique the maternal and fetal complications were very less. Th e details of the study will be discussed at the time of presentation in the congress.