Special Operations Forces Medical Handbook

3-99

Wigand Maneuver for Breech Delivery of the Head

Placenta

Administer suprapubic pressure

to facilitate movement of head

to a flexed position

Raise the body only when the nose and

mouth are visible at the introitus.

Pubic symphisis

5

Hands grasping hips,

thumbs on buttocks,

with wrapped towel

for improved grip

Suprapubic pressure applied

to maintain flexion of the head

Gentle outward traction
applied to extract fetus

Breech Delivery

4

Figure 3-11