Internal podalic version for neglected shoulder presentation with fetal demise
Article first published online: 28 JUL 2009
© 2009 The Authors Journal compilation © RCOG 2009 BJOG An International Journal of Obstetrics and Gynaecology
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 116, Issue 13, pages 1801–1804, December 2009
How to Cite
Mahajan, N., Gaikwad, N., Solomon, M., Mahajan, K. and Kothari, N. (2009), Internal podalic version for neglected shoulder presentation with fetal demise. BJOG: An International Journal of Obstetrics & Gynaecology, 116: 1801–1804. doi: 10.1111/j.1471-0528.2009.02296.x
- Issue published online: 11 NOV 2009
- Article first published online: 28 JUL 2009
- Accepted 14 June 2009. Published Online 28 July 2009.
- Internal podalic version;
- neglected shoulder presentation;
- transverse lie
In modern obstetrics, the role of internal podalic version (IPV) is limited to delivery of the second twin. A retrospective study was conducted to assess the efficacy of IPV in singleton neglected shoulder presentation with fetal demise. Women with live fetuses, previous CS or contracted pelvis were excluded. The procedure involved repositioning the prolapsed hand under anaesthetic followed by breech extraction. 12 women were identified over a 19 month period and all underwent successful IPV. One woman had a postpartum haemorrhage. We conclude that, in singleton pregnancies with a transverse lie, IPV has a role to play in the delivery of dead fetuses.