Department of Obstetrics and Gynaecology, Padhar Hospital, Padhar, Dist-Betul, Madhyapradesh, India.
BJOG. 2009 Dec;116(13):1801-4. doi: 10.1111/j.1471-0528.2009.02296.x. Epub 2009 Jul 27.
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.
在现代产科中，内倒转术（IPV）的作用仅限于第二胎的分娩。一项回顾性研究评估了内倒转术在胎死腹中的单胎肩先露中的疗效。排除了有活胎、既往剖宫产或骨盆狭窄的妇女。该手术在全身麻醉下将脱垂的手复位，然后行臀位牵引。在 19 个月的时间里，共发现 12 名妇女，均成功进行了 IPV。其中 1 名妇女产后出血。我们的结论是，对于横位的单胎妊娠，IPV 在死胎分娩中具有一定的作用。
