Abstract

Background: Destructive operations in obstetrics are performed to allow vaginal delivery and avoid cesarean section in moribund fetus and mother. The incidence of destructive procedure ranges from 0.21-0.5%, craniotomy being the most common of all. The most common indication is obstructed labor followed by hydrocephalus.
Cases: We here discuss series of cases where craniotomy was done without any side effects to the mother. The cases were of arrest of descent of head and obstructed labour with intrauterine demise and one was hydrocephalus baby.
Conclusion: It is important to revisit and master the technique of destructive procedures to save the obstetric future of young mothers.

Keywords: Coagulopathy;Craniotomy; Destructive obstetric procedure; Intrauterine demise; Obstructed labour