Abstract

We find ourselves in the unique position of advocating a procedure which is in disrepute in most of the country and the use of which is declining in our own institution. This report is a continuation of a study made a few years ago when an analysis of 534 patients delivered by internal podalic version and extraction was reported.1 The conclusions at that time were (1) the procedure should not be performed routinely, but (2) that many cases of inertia, failure of descent, transverse arrest, and persistent posterior are best managed by version and extraction. With our series now increased by 612, making a total of 1,146 cases, we wish to evaluate the present status of internal podalic version and extraction and see if our former conclusions are justified. In other words, is internal podalic version and extraction worthy of remaining an integral part of our obstetric armamentarium or should it be discarded like symphysiotomy, pubiotomy, bougie induction of labor, etc.?

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