A Reliable Method of Establishing the Level of the Fetal Head in Obstetrics

  • D Crichton


A method of assessing the level of the head clinically in 'fifths of the head above the pubic symphysis' is described, illustrated, and commented upon. Its value in delineating the descent of the head in problem cases, and as a guide to whether or not the. head can be delivered safely from below, has been proved in thousands of cases presenting with problems of disproportion at King Edward VIII Hospital, Durban. Confirmatory evidence by radiographic examination has been forthcoming in a large
percentage of cases. The traditional methods of assessing the level of the
head, by its 'station' and 'engagement', are described and subjected to criticism. They are theoretically unsound, and practically misleading, especially in problem cases.

S. Afr. Med. J . 48, 784 (1974).


Journal Identifiers

eISSN: 0256-95749
print ISSN: 2078-5135