breech extraction


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Related to breech extraction: breech presentation, internal podalic version

extraction

 [ek-strak´shun]
1. the process or act of pulling or drawing out.
2. the preparation of an extract.
breech extraction extraction of an infant from the uterus in cases of breech presentation.
flap extraction removal of a cataract by making a flap in the cornea.
menstrual extraction a form of induced abortion in which a flexible cannula is inserted through an undilated cervix for the purpose of removing the fertilized embryo and endometrium. The cannula is attached to a syringe, which is used to aspirate the uterine contents and induce the onset of the “missed period.” This technique is not always effective, and sometimes a second procedure is required. It should be done within two weeks of a missed menstrual period.
serial extraction the selective extraction of primary teeth during an extended period of time to allow autonomous adjustment.
tooth extraction forcible removal of a tooth; called also odontectomy.
vacuum extraction removal of the uterine contents by application of a vacuum, done either for delivery of a viable fetus or for an abortion.

breech ex·trac·tion

obstetric extraction of a fetus that has presented by the buttocks.
References in periodicals archive ?
Head pushing versus reverse breech extraction in cases of impacted fetal head during Cesarean section.
Disengagement of the deeply engaged fetal head during cesarean section in advanced labor: conventional method versus reverse breech extraction. Acta Obstet Gynecol Scand.
In another study--a review of 362 consecutive twin deliveries--only 4 cases of birth trauma occurred, and only 1 of those was associated with vaginal breech extraction. That baby suffered a fractured clavicle and a fractured humerus.
This is true for breech extraction at vaginal delivery, as well as management of a second twin.
Rupture is more likely following breech extraction, obstructed labor, abnormal fetal presentation, and midforceps delivery.
I never tried to convert to a breech extraction in cases of fetal impaction, but I would think that doing so would tend to extend a transverse incision.
If the head is impacted deep in the pelvis, I encourage you to consider alternative approaches to cesarean delivery, including reverse breech extraction (FIGURE 1, page 9) or an assist from a vaginal hand (FIGURE 2, page 10) to facilitate delivery.