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Version
Definition It is changing the transverse lie to a longitudinal one or replacement the presenting pole by the other. If the aim is to make the head the presenting part it is called cephalic version and if the breech will be the presenting part it is podalic version.
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Types
* External version, usually cephalic. * Internal podalic version. * Bipolar podalic version.
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Prerequisites
* General anaesthesia to guard against pain and give uterine and pelvic relaxation. * Evacuation of the bladder. * Complete aseptic conditions. * Cervix is fully dilated. * Uterus is not tonically contracted. * No previous uterine scar. * Adequate liquor amnii (intact or recently ruptured membranes). * No obstruction to vaginal delivery whether maternal as contracted pelvis or foetal as hydrocephalus.
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