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• W1626883267 abstract "Second-stage caesarean section with a deeply impacted fetal head is associated with maternal and neonatal complications.Systematic review and meta-analysis to identify, appraise and synthesise existing evidence that evaluated various techniques of delivering a baby with a deeply impacted head at full-dilation caesarean section. The primary outcome was uterine extension and secondary outcomes were other maternal and neonatal morbidities.Online searches of MEDLINE (1946-January 2015), EMBASE (1950-January 2015), Web of Sciences (1950-2015), and the Cochrane Library databases were performed using a set of relevant keywords.All studies that compared the outcome of various techniques of delivering the baby's head at full-dilation caesarean section.Methodological quality was assessed using the Newcastle-Ottawa scale. Data collected from each of the studies included variables on the participants, comparisons used, and feto-maternal outcomes. Meta-analysis was performed using review manager 5.3.In total, 12 studies were included. Six studies (n = 455) examined primary outcomes. Meta-analysis showed that the risks of uterine incision extension, infection, mean blood loss, and operative time were significantly higher with the push technique compared with the reverse breech extraction. The evidence to support the Patwardhan method and fetal pillow was inadequate.Evidence gathered from observational studies suggests that reverse breech extraction is associated with significantly lower maternal risks compared with the push method.Meta-analysis suggests reverse breech extraction during caesarean section to deliver impacted fetus is safer." @default.
• W1626883267 created "2016-06-24" @default.
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• W1626883267 date "2015-08-24" @default.
• W1626883267 modified "2023-09-27" @default.
• W1626883267 title "Comparison of techniques used to deliver a deeply impacted fetal head at full dilation: a systematic review and meta-analysis" @default.
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• W1626883267 doi "https://doi.org/10.1111/1471-0528.13593" @default.
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