Podalic version

Podalic version is an obstetric procedure wherein the fetus is turned within the womb such that one or both feet present through the cervix during childbirth. It is used most often in cases where the fetus lies transversely or in another abnormal position in the womb. In modern medicine, abnormal lies are increasingly delivered via Caesarean section. According to Gabbe, "There is no place for internal podalic version and breech extraction in the management of transverse or oblique lie or unstable presentation in singleton pregnancies because of the unacceptably high rate of fetal and maternal complications."

Podalic version has a long history spanning back to Hippocrates. It fell out of favor over the centuries until revived by Ambroise Paré in the 16th century.

Types

Podalic version may be external or internal.

References

Is internal podalic version a lost art? Optimum mode of delivery in transverse lie
Gabbe. Obstetrics: Normal and Problem Pregnancies. 5th Ed. 2007. Churchill Livingstone

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