What is the indication for performing Dhurssen's incisions?

Dhurssen's incisions are specifically indicated for cases of an entrapped head, particularly during assisted vaginal deliveries when the fetal head gets stuck in the birth canal despite the uterus and cervix being adequately dilated. This situation requires rapid intervention to reduce the risk of fetal hypoxia and other complications. The incisions allow for better access to release the entrapment, facilitating the delivery of the fetus and ensuring that both maternal and fetal health can be preserved.

In contrast, fetal distress typically indicates a need for rapid delivery or emergency intervention, but it does not specifically warrant Dhurssen's incisions. Conditions such as amniotic fluid embolism require different management protocols focused on stabilization and emergency support. Similarly, placenta previa is managed with caution to prevent hemorrhage, and delivery may be done through cesarean section rather than resorting to incisions like Dhurssen's. Each of these conditions has its own specific interventions more suited to their clinical scenarios, reinforcing that Dhurssen's incisions are tailored for addressing the unique challenges presented by an entrapped fetal head.