Dilatation and extraction was performed. The fetal cerebral cortex is compressed to one to three millimeters. As the fetal head is disproportionately large, dilatation and extraction is the safest method used to deliver a fetus unable to survive life outside the womb. F insulin dependent diabetic. At 24 weeks of pregnancy the patient's renal function declines.
Ultrasound examinations reveal multiple fetal anomalies.
When the patient develops acute renal failure requiring renal dialysis, prompt delivery is indicated, as the stress of labor would be too risky. Dilatation and extraction is the most appropriate method of ending the immediate threat to the patient's life. She has had no previous pre-natal care. A medical examination indicates that her water broke and the fetus is presenting itself feet first. As a result, the cervix is not dilated as wide as when the fetus presents head first.