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  • Title: Symphysiotomy for the trapped aftercoming parts of the breech: a review of the literature and a plea for its use.
    Author: Menticoglou SM.
    Journal: Aust N Z J Obstet Gynaecol; 1990 Feb; 30(1):1-9. PubMed ID: 2189391.
    Abstract:
    The most dreaded complication of vaginal breech delivery is entrapment of the aftercoming head. When this is due to disproportion, persistent attempts at vaginal extraction are likely to result in a dead or damaged baby. A largely unknown solution in this desperate predicament is to surgically enlarge the pelvis by means of a symphysiotomy. A review of the literature shows that symphysiotomy performed to free the trapped aftercoming head will save at least 80% of babies if the procedure is performed without delay. Every obstetrician should be prepared to perform a symphysiotomy if the aftercoming head is trapped.
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