High fetal head in cesarean link between delivery methods and complications.

OBJECTIVES

To explore the correlation between different delivery methods for high-positioned fetal heads during cesarean section(CS) and obstetric complications.

METHODS

A retrospective analysis of 236 cephalic-position CS patients with high-floating fetal heads (Jun 2023-Jun 2024) was conducted. Patients were divided into manual delivery (n=80), single-blade forceps (n=80), and double-blade forceps (n=76) groups. Perioperative outcomes, including delivery time, Apgar scores, and maternal/fetal complications, were compared.

RESULTS

The single-blade forceps group had the shortest delivery time (p=0.000), higher 1-minute Apgar scores than the manual proup (p=0.010), and the lowest incidence of birth injury (p = 0.000).

CONCLUSIONS

For high-positioned fetal heads, single-blade forceps significantly shorten delivery time and reduces neonatal asphyxia, birth injury, and maternal complications.