Dr. Varma has been in active OBGYN practice for the last 40 years. He previously worked for the UK national health service in busy hospitals for 30 years before working in private practice for the last 10 years. A few years back he noticed a growing problem of fetal and maternal trauma during second stage cesarean sections with no real solution. This inspired him to invent a simple device to elevate the fetal head before performing a CS to minimize associated risks with a deeply engaged fetal head. The device has been in use in UK for the last 10 years, its use has now expanded to 21 countries.
What are the current national guidelines and international guidelines in the care of the second stage of labor? Dr. Rajiv Varma, obstetrician-gynecologist with a private practice in the UK and inventor of the Fetal Pillow, helps you recognize surgical difficulties and perinatal complications arising from an impacted fetal head presentation secondary to a prolonged second stage. Thus, he discusses the benefits of using a fetal cephalic elevation device to reduce maternal and fetal morbidities due to prolonged second stages.