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. Author manuscript; available in PMC: 2024 Mar 11.

Published in final edited form as: Am J Obstet Gynecol. 2023 Aug 15;230(3 Suppl):S1014–S1026. doi: 10.1016/j.ajog.2022.03.016

Figure 9: — Symphysiotomy is a surgical procedure resorted to when catastrophic obstructed labors (e.g., head entrapment in breech deliveries or shoulder dystocia refractory to all other maneuvers) occur in resource-poor settings. A: A urinary catheter is placed in the urethra and one finger of one hand displaces the urethra off midline while the other hand utilizes a scalpel anteriorly and above to incise the ligament between the two pubic rami, B: as shown.

Figure 9: — Symphysiotomy is a surgical procedure resorted to when catastrophic obstructed labors (e.g., head entrapment in breech deliveries or shoulder dystocia refractory to all other maneuvers) occur in resource-poor settings. A: A urinary catheter is placed in the urethra and one finger of one hand displaces the urethra off midline while the other hand utilizes a scalpel anteriorly and above to incise the ligament between the two pubic rami, B: as shown.