Variations of cervical head entrapment in vaginal breech births: New insights on how to prevent, manage and resolve

This paper presents a novel, systematic way to understand the causes of cervical head entrapment in vaginal breech births, and new insights into management. Three different types of cervical head entrapment are described, with detailed illustrations: unpredictable and potentially catastrophic, manag...

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Bibliographic Details
Published in:European journal of obstetrics & gynecology and reproductive biology 2024-08, Vol.299, p.78-82
Main Authors: Walker, Shawn, Daelemans, Caroline, Gerhard-Nielsen, Kamilla, Das, Sabrina, Page, Louise
Format: Article
Language:English
Subjects:
Breech presentation
Breech Presentation - therapy
Cervical entrapment
Cervix Uteri
Clinical skills
Female
Humans
Obstetric complications
Physiological breech birth
Pregnancy
Uterine Prolapse
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Summary:This paper presents a novel, systematic way to understand the causes of cervical head entrapment in vaginal breech births, and new insights into management. Three different types of cervical head entrapment are described, with detailed illustrations: unpredictable and potentially catastrophic, manageable, and preventable. The first affects preterm and growth-restricted fetuses. The second involves some degree of uterine prolapse. The third may result from prolonged head entrapment at the pelvic inlet, leaving time for cervical contraction or oedematous entrapment. Traditional and innovative strategies to resolve and prevent this complication are described and illustrated, with suggestions for further research.
ISSN:0301-2115
1872-7654
1872-7654
DOI:10.1016/j.ejogrb.2024.05.039