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Sophie Delplanque, MD and Krystel Nyangoh Timoh, MD, PhD
This video is a step-by-step operative technique for educational purposes. The current pregnancy was complicated by severe preeclampsia, the medical team decided to perform a vaginal cesarean delivery for maternal salvage. The operative technique consists of 4 steps. Step 1 is the sagittal and vertical incision of the cervix then the bladder with the anterior vaginal wall pushed upwards. Step 2 is the exposing the lower uterine segment and making a vertical segment incision up to the highest part of the lower uterine segment. Step 3 is the extraction of the fetus and the step 4 is the reconstruction of the lower uterine segment by separate sutures.