The use of a cephalic perforator for delivery of the dead fetus in cases of severe abruptio placentae

S Afr Med J. 1990 Jan 20;77(2):80-2.


A technique of cephalic perforation and fetal bone screw application is described in 9 cases of severe abruptio placentae complicated by intra-uterine fetal death and uterine inertia. Eight of the patients were delivered per vaginam within 6 hours of the procedure. Besides rapid progress to vaginal delivery, fetal mutilation was minimal and no maternal injuries occurred.

MeSH terms

  • Abruptio Placentae / surgery*
  • Delivery, Obstetric / instrumentation*
  • Female
  • Fetal Death*
  • Humans
  • Methods
  • Pregnancy
  • Prospective Studies