As Tatlock tells us, Siegemund became "the next best thing to an expert in obstructed labor and had perfected the techniques of cephalic and podalic
The delivery was defined by obstetric indication so that 9 patients had normal delivery and 5 patients had their deliveries by cesarean section, one of which was because of failed induction, and 4 of them due to a podalic
problem has been brought into focus because this is National Footcare Week.
No description of the orbital cavities was reported, and a podalic
presentation was diagnosed.
The incidence of vertex vaginal delivery was 32.4%, assisted breech delivery in 22.7% cases, caesarean section in 39.6% and internal podalic
version was done in 4 cases for second baby.
This approach is also useful when breech extraction of a second twin becomes difficult, and in cases involving podalic
version of a second twin.
* Any case with presentation other than breech where attempts were made to deliver by internal podalic
version were excluded.
There are several risk factors for rupture uterus like multi parity (5) uterotonic drugs, placenta percreta (6), CPD, mal position, mal presentation, internal podalic
version, perforation of uterus during MTP, instrumental delivery, and scarred uterus following operations on uterus like caesarean section, myomectomy, utericuloplasty.