Internal podalic version still has a role in the management of transverse lie

ABSTRACT

To analyze the cases of undiagnosed transverse lie presented in labour room of BMCH which were managed by IPV or LSCS, thus emphasizing the continuing importance of IPV in the developing countries. To study the role of internal podalic version in the management of undiagnosed transverse lie presenting in active labour. Retrospective case series study. This study was carried out at the Department of Obstetrics and Gynecology Unit-I, Bolan Medical Complex Hospital Quetta, Baluchistan, from January 2001 to December 2012. This is a retrospective case series study of 144 cases of transverse lie who presented in active labour. The relevant data of 11 years was collected from the labour ward register and was analyzed. There were total 144 cases of undiagnosed transverse lie that came to hospital out of which 74[51.38%] were managed by internal podalic version and cesarean section was performed in 70[48.62%] cases. None of them had any form of antenatal care. 44[30.55%] of them were 2[nd] twin. Internal podalic version still has a role in the management of transverse lie. It is almost always successful in the delivery of second twin but singleton pregnancies can also be delivered with this skill if proper patient selection is done. It has shown a good maternal and fetal outcome: