Hand Presentation / Prolapsed Hand: UK Midwifery Archives
A rare and potentially disastrous complication, managed successfully at a home birth.
"The waters broke and the arm dangled out. I didn't pull on the arm but tried to locate a cephalic pp (presenting part) without success. What to do? I went through the options and and decided to treat as a cord prolapse and got the woman to turn on all fours. This wasn't straightforward as she has a disability. Yet she did get there and then it flashed into my mind after a short prayer to locate the lower limb if possible and do an internal podalic version. This was done between contractions and then with legs and body dangling with the next push a gentle breech extraction was performed of a 2.3kgs baby boy."
Friday, December 19, 2008
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