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Trop Doct. 1988 Oct;18(4):180-2.

A new instrument for the delivery of the impacted dead fetus.



When a fetus dies during labor, it is best to deliver the dead fetus with a minimum of maternal trauma. Especially in underdeveloped countries, where obstetric facilities are limited, maternal mortality and morbidity rates associated with cesarean sections are high. The established methods of craniotomy and subsequent delivery often cause destruction of maternal tissue. Thus, a new destructive instrument for the delivery of the dead impacted fetus has been developed at the Groote Schuur Hospital in Capetown, South Africa. Made from stainless steel, it has been named the Groote Schuur Hospital Perforator and Bone Screw. The instrument has so far been used in 3 cases, in operations that caused minimal maternal discomfort and no maternal injury. The instrument is described and instructions are given for its use.

[Indexed for MEDLINE]

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