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Craniotomy

It consists of perforating the fetal skull, evacuating the contents and then delivering rest of the fetal parts.
 

Indication:

  1. Delivery of a dead fetus in obstructed labour with a cephalic presentation (vertex, brow or face).
  2. Delivery of the arrested after coming head in vaginal breech delivery.

Presenting Part

Perforation Site

Vertex

Brow

Face

After coming head in breech

One or other parietal bone

Frontal bone

Orbit or roof of the mouth

Occipital bone

 





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