Podalic version
Podalic version is a medical procedure used in obstetrics to turn a fetus in the uterus to a more favorable position for childbirth. This procedure is typically performed when the fetus is in a breech position or transverse lie, and it is intended to turn the fetus to a vertex presentation.
Procedure
The healthcare provider performs the podalic version by applying pressure to the mother's abdomen to manually turn the fetus in the uterus. This procedure is usually performed in a hospital setting, where immediate cesarean section can be performed if necessary. The healthcare provider will monitor the fetus's heart rate and the mother's contractions throughout the procedure.
Risks and Complications
While podalic version can be a useful procedure, it is not without risks. Potential complications include premature labor, placental abruption, umbilical cord prolapse, and fetal distress. The healthcare provider will weigh these risks against the potential benefits of the procedure.
Alternatives
If podalic version is not successful or not possible, a cesarean section may be necessary. Other alternatives include external cephalic version, which is a similar procedure that attempts to turn the fetus from a breech or transverse lie to a vertex presentation.
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Contributors: Prab R. Tumpati, MD