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Comparison of push and pull methods of delivery for deeply engaged fetal head during caesarean section for prolong second stage of labour in preventing extension of uterine incision

Ayesha Javed, Humera Noreen, Ismat Batool, Naveed Arshad.

Abstract
Objective: To compare effectiveness of push and pull methods of delivery used to extract the impacted fetal head during cesarean delivery for prolong second stage of labor in terms of preventing uterine incision extension.
Methodology: This randomized controlled trial was done in obstetrics & gynecology department of Benazir Bhutto Hospital (BBH), Rawalpindi from December 2018 to June 2019. A total of 86 consecutive patients of prolonged second stage of labor with deeply impacted fetal head were included in the study. Patients were allocated in two groups; pull method (Group A) and push method (Group B). All patients underwent cesarean section. A deeply impacted fetal head was delivered either by pull method or push method. Extension of uterine incision or tear/laceration more than 2cm in lower uterine segment was assessed subjectively by surgeon as presence or absence of tear from normal uterine incision.
Results: The study had 86 patients with mean age of 28.32±3.6 years. The ‘push’ method was associated with extension of the uterine incision (19 [79.0%] vs 5 [21.0%]) (p=0.001) compared to ‘pull’ method.
Conclusion: Pull technique had considerably lower risk of extension of the uterine incision as compared to push technique.

Key words: Push and pull method, cesarean section, second stage labor, uterine incision.


 
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How to Cite this Article
Pubmed Style

Javed A, Noreen H, Batool I, Arshad N. Comparison of push and pull methods of delivery for deeply engaged fetal head during caesarean section for prolong second stage of labour in preventing extension of uterine incision. RMJ. 2022; 47(1): 93-96.


Web Style

Javed A, Noreen H, Batool I, Arshad N. Comparison of push and pull methods of delivery for deeply engaged fetal head during caesarean section for prolong second stage of labour in preventing extension of uterine incision. https://www.rmj.org.pk/?mno=92411 [Access: April 05, 2022].


AMA (American Medical Association) Style

Javed A, Noreen H, Batool I, Arshad N. Comparison of push and pull methods of delivery for deeply engaged fetal head during caesarean section for prolong second stage of labour in preventing extension of uterine incision. RMJ. 2022; 47(1): 93-96.



Vancouver/ICMJE Style

Javed A, Noreen H, Batool I, Arshad N. Comparison of push and pull methods of delivery for deeply engaged fetal head during caesarean section for prolong second stage of labour in preventing extension of uterine incision. RMJ. (2022), [cited April 05, 2022]; 47(1): 93-96.



Harvard Style

Javed, A., Noreen, . H., Batool, . I. & Arshad, . N. (2022) Comparison of push and pull methods of delivery for deeply engaged fetal head during caesarean section for prolong second stage of labour in preventing extension of uterine incision. RMJ, 47 (1), 93-96.



Turabian Style

Javed, Ayesha, Humera Noreen, Ismat Batool, and Naveed Arshad. 2022. Comparison of push and pull methods of delivery for deeply engaged fetal head during caesarean section for prolong second stage of labour in preventing extension of uterine incision. Rawal Medical Journal, 47 (1), 93-96.



Chicago Style

Javed, Ayesha, Humera Noreen, Ismat Batool, and Naveed Arshad. "Comparison of push and pull methods of delivery for deeply engaged fetal head during caesarean section for prolong second stage of labour in preventing extension of uterine incision." Rawal Medical Journal 47 (2022), 93-96.



MLA (The Modern Language Association) Style

Javed, Ayesha, Humera Noreen, Ismat Batool, and Naveed Arshad. "Comparison of push and pull methods of delivery for deeply engaged fetal head during caesarean section for prolong second stage of labour in preventing extension of uterine incision." Rawal Medical Journal 47.1 (2022), 93-96. Print.



APA (American Psychological Association) Style

Javed, A., Noreen, . H., Batool, . I. & Arshad, . N. (2022) Comparison of push and pull methods of delivery for deeply engaged fetal head during caesarean section for prolong second stage of labour in preventing extension of uterine incision. Rawal Medical Journal, 47 (1), 93-96.








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