|
#1
●
04-18-2011, 05:40 AM
|
|
'Destructive Delivery' Part 1 *Caution: dead baby*
Destructive delivery – also known as embryotomy – is used to deliver a dead fetus vaginally in a case of IUFD ( intra uterine fetal death). It implies – as the word says – some sort of destroying or taking the fetus apart to facilitate delivery and protect the life of the mother. There are in principle three acknowledged types of embryotomy: 1) Craniotomy – perforation of the skull and emptying the head of brain tissue so that the head collapses. That is used when the fetus presents with the head or in a case of retained head in a breech. 2) Decapitation – cutting the neck and separating the head from the truncus. That is used in a transverse presentation with following version and extraction on a foot (or both feet), as well as in the rare cases of locked twins. 3) Evisceration – perforation of the truncus (chest or abdomen) with removal of all internal organs so that the body collapses and a version and extraction can be done without the risk of rupturing the uterus. Used when decapitation is not possible in a transverse presentation The craniotomy technique is shown below: See evisceration technique here: http://www.documentingreality.com/fo...ad-baby-76471/ · · · · · · · |
|
#6
●
04-18-2011, 09:05 PM
|
|
Re: 'Destructive Delivery' Part 1 *Caution: dead baby*
I dont understand why the mother does not just deliver the fetus normally even with the baby dead. Why have a destructive delivery? What purpose will this serve after the fetus has died? There is no mention of the fetus being stuck and causing the mother harm. Women deliver stillborn fetuses daily and do not have to have the poor babe destroyed prior to birth. |
|
#8
●
09-22-2011, 11:12 PM
|
|
Re: 'Destructive Delivery' Part 1 *Caution: dead baby*
I worked as an LPN, specializing in Obstetrics, for a Women's hospital that had a wing dedicated to IUFD. It was terribly sad to be assigned this wing, to say the least. Destructive Deliveries are normally used when some sort of mechanical problem, like the fetus' size or presentation prevents simply waiting for the woman to deliver "normally" - although, there is NOTHING normal about delivering a dead baby. Doctors usually try to avoid C-sections because of a variety of risks to the mother, such as massive infections, an already fragile uterus due to the fetus' death, risk of uterine rupture etc. Medically speaking, a Caesarean section for fetal demise in itself is not indicated. However, doctors also take into consideration the mental status of the patient - some women cannot mentally withstand carrying their dead infant to term. Some doctors would obviously prefer to preform a C-section, rather than mutilate the poor thing, but again there are many factors in deciding which method is best for the woman, her mental state as well as considering which method will give her the best chance for a future healthy pregnancy. |