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Internal podalic version and extraction

1949; Elsevier BV; Volume: 57; Issue: 2 Linguagem: Inglês

10.1016/0002-9378(49)90433-0

1097-6868

Henry W. Erving,

Maternal and Perinatal Health Interventions

A series of 534 internal podalic versions and extractions performed over a three and one-half year period is analyzed. They composed 4.1 per cent of all deliveries at the Elizabeth Steel Magee Hospital. Most of the patients were of private status, and all were delivered by or under the supervision of obstetricians, or by men with adequate training in obstetries. Ages varied from 16 to 43 years, and gravidity from i to xvii. All but fifteen patients were of eight or more months gestation. Most of the pelves were gynecoid with the next largest category platypelloid. There were fifteen separate indications for version with the quartet of inertia, failure of descent of the head, transverse arrest, and persistent posterior the reason for 80 per cent of the versions. Over two hundred of the patients were in labor more than eighteen hours. In almost one-half of the cases the membranes were ruptured from one-half hour to five days prior to delivery. The complications of delivery included twenty-six marked physiologic retraction rings, one ruptured uterus, and seven thirddegree lacerations of the perineum. Postpartum complications were not unusual, and only twenty-two of the patients remained in the hospital more than fifteen days post partum. There was one maternal mortality, and the gross infant mortality was 5.8 per cent, corrected 2.6 per cent; excluding the prophylactic versions and second twins 6.3 per cent and 3.8 per cent, respectively.