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

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

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Department of Obstetrics and Gynaecology, University of Cape Town.


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.

[Indexed for MEDLINE]

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