Podalic version

Podalic version is an obstetric procedure wherein the fetus is turned within the womb such that one or both feet present through the cervix during childbirth. It is used most often in cases where the fetus lies transversely or in another abnormal position in the womb. In modern medicine, abnormal lies are increasingly delivered via Caesarean section. According to Gabbe, "There is no place for internal podalic version and breech extraction in the management of transverse or oblique lie or unstable presentation in singleton pregnancies because of the unacceptably high rate of fetal and maternal complications."

Podalic version has a long history spanning back to Hippocrates. It fell out of favor over the centuries until revived by Ambroise Paré in the 16th century.

Types

Podalic version may be external or internal.

References

Is internal podalic version a lost art? Optimum mode of delivery in transverse lie
Gabbe. Obstetrics: Normal and Problem Pregnancies. 5th Ed. 2007. Churchill Livingstone

Obstetrical surgery and other procedures (ICD-9-CM V3 72–75, ICD-10-PCS 1)

Diagnostic

Pregnancy test

Leopold's maneuvers

Cardiotocography Fetoscopy Fetal scalp blood testing Fetal scalp stimulation test

sampling:	fetal tissue Chorionic villus sampling Amniocentesis blood Triple test Percutaneous umbilical cord blood sampling Apt test Kleihauer–Betke test lung maturity Lecithin–sphingomyelin ratio Lamellar body count Fetal fibronectin test

obstetric ultrasonography:	Nuchal scan

antenatal testing:	Fetal movement counting Contraction stress test Nonstress test Vibroacoustic stimulation Biophysical profile Amniotic fluid index

Intervention

Delivery

Vaginal delivery

Induction	Artificial rupture of membranes Episiotomy Symphysiotomy Forceps in childbirth Ventouse in childbirth Odón Device

Dystocia management	McRoberts maneuver Woods' screw maneuver Zavanelli maneuver

Third stage of labor	Manual placenta removal

Caesarean section

Postpartum hemorrhage

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