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    Interventional procedure overview of balloon disimpaction of the baby's head at emergency caesarean

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    Additional information considered by IPAC

    Professional experts' opinions

    Expert advice was sought from consultants who have been nominated or ratified by their professional Society or Royal College. The advice received is their individual opinion and is not intended to represent the view of the society. The advice provided by professional experts, in the form of the completed questionnaires, is normally published in full on the NICE website during public consultation, except in circumstances but not limited to, where comments are considered voluminous, or publication would be unlawful or inappropriate.

    Four professional expert questionnaires for balloon disimpaction of fetal head at emergency caesarean delivery were submitted and can be found on the NICE website.

    Patient commentators' opinions

    NICE's Public Involvement Programme will send questionnaires to NHS trusts for distribution to patients who had the procedure (or their carers). When NICE has received the completed questionnaires, these will be discussed by the committee.

    Company engagement

    A structured information request was sent to 1 company who manufactures a potentially relevant device for use in this procedure. NICE received 1 completed submission. This was considered by the IP team and any relevant points have been taken into consideration when preparing this overview.

    Issues for consideration by IPAC

    No additional issues were identified.
    References

    1. Di Girolamo R, Galliani C, Buca D et al. (2021) Outcomes of second stage cesarean section following the use of a fetal head elevation device: A systematic review and meta-analysis. European Journal of Obstetrics & Gynecology and Reproductive Biology 262: 1–6

    2. Lassey SC, Little SE, Saadeh M et al. (2020) Cephalic elevation device for second-stage cesarean delivery: a randomized controlled trial. Obstetrics and Gynecology 2020 135: 879–84

    3. Seal SL, Dey A, Barman SC et al. (2016) Randomized controlled trial of elevation of the fetal head with a fetal pillow during cesarean delivery at full cervical dilatation. International Journal of Gynaecology and Obstetrics 133: 178–82

    4. Sengupta M, Dutta S (2019) A comparative study of maternal and foetal outcome between reversed breech extraction technique and foetal pillow, during caesarean section in full dilatation (CSFD), in second stage of labour. Journal of Evolution of Medical and Dental Sciences 8: 1463–68