**4.4 Reverse breech extraction**

If you are taking a mother with prolonged labor for caesarian section, it would be beneficiary if you decide the method to dis-impact the deeply engaged fetal head ahead of time. Thus, localizing the maternal side which the feet of the fetus are located would shorten the precious intraoperative time spent in search of it.


Though there was no statistically significant difference in bladder injury, several systematic reviews and meta-analysis showed that reverse breech extraction is associated with significantly lower maternal risks compared with the push method. Uterine incision extension, infection, mean blood loss, and operative time were significantly higher with the push technique compared with the reverse breech extraction [4, 6–8].
