Anaesthetic considerations for impacted fetal head at caesarean delivery: a focused review
Authors' conclusion
Impacted fetal head is an obstetric emergency that the anaesthetist should be familiar with and has a vital role in managing.
Study context
- Population
- Caesarean deliveries with impacted fetal head
- Outcome
- Incidence of impacted fetal head
Methodological detailsDatabases searched for free text and subject headings on impacted fetal head and caesarean delivery
- Databases searched for free text and subject headings on impacted fetal head and caesarean delivery
Main finding
As reported in the abstract
Elective caesarean deliveries
1.5 %
All emergency caesarean deliveries at any cervical dilatation
2.9-18.4%
Further findings
Risk factors
- Advanced cervical dilatation, labour augmentation with oxytocin, prolonged second stage of labour, fetal malposition, junior grade of operating obstetrician
Management
- Lower operating table, step for obstetrician, head-down position, tocolysis with glyceryl trinitrate (nitroglycerin), beta-2 adrenoreceptor agonists or volatile anaesthetic agents, and managing complications such as PPH
Original publication
Anaesthetic considerations for impacted fetal head at caesarean delivery: a focused review. Int J Obstet Anesth. Published 16 September 2024. doi:10.
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