摘要：Object.ve: t. compare mat.rnal and neonat.l morbidit. associat.d wit. t.o met.ods t. ext.act.t.e impact.d fet.l head during Cesarean delivery. St.dy design: We ret.ospect.vely analyzed cases wit. difficult.ext.act.on of t.e impact.d fet.l head during Cesarean sect.on. We compared mat.rnal and neonat.l out.omes bet.een cases t.at.were delivered by head ext.act.on following pushing t.rough t.e vagina (“ push” met.od) and t.ose t.at.were delivered by t.e reverse breech t.chnique (“ pull” met.od). Result.: We reviewed 3105 Cesarean sect.on report.. Difficult.ext.act.on necessit.t.ng t.e “ push” or “ pull” met.ods was not.d in 48 (1.5% ) inst.nces. Women t.at.were delivered by t.e “ pull” met.od had significant.y lower rat. of post.art.m fever (5% versus 46% ; odds rat.os, 0.06; 95% confidence int.rvals, 0.007- 0.51) and ext.nsions of t.e ut.rine incision (15% versus 50% ; odds rat.o, 0.17; 95% CI, 0.04- 0.74) compared t. t.ose t.at.were delivered by t.e “ push” met.od. Neonat.l out.omes were good in all cases. Conclusions: In cases wit. difficult.ext.act.on of t.e impact.d fet.l head during Cesarean sect.on, “ pull” met.od may result.in lower mat.rnal morbidit. compared t. t.e t.adit.onal “ push” met.od.