Push method for delivery of the impacted fetal head at cesarean

Abdominovaginal delivery (push method) refers to a procedure in which an assistant places their gloved, cupped hand into the vagina to gently disengage and push the impacted fetal head up into the uterus for cesarean delivery. Three or four fingers are separated and spread over a large area of fetal skull to avoid exerting excessive focal pressure, which can be traumatic. The operating obstetrician also assists from above by providing steady upward traction on the fetal shoulders and by attempting to flex the fetal head or at least prevent further deflexion.