kindly give me detail in depth regarding "cleidotomy"?

Answer 1

Wow - this isn't a very common thing. A Cleidotomy is a procedure to break a patient's clavicle. Usually it is never done for an adult and the only time it is done is in the delivery of a large baby - in order to get the baby through the relatively small birth canal.

In fact these days it is not even done for the delivery of a live baby. We would usually proceed to a Caesarian Section instead if foetal macrosomia or cephalopelvic disproportion was thought to become a problem at delivery.

Cleidotomy in modern obstetrics is usually reserved for the delivery of a large foetus where there has been an intrauterine death. In peripheral centers where a labour becomes obstructed, eg. with shoulder dystocia, cleidotomy is still an option.

WARNING - this stuff is pretty ugly stuff - if you have a delicate stomach for medical procedures you may not want to read this information

CLEIDOTOMY (division of the clavicles) on one or both sides, will reduce the width of the shoulders of a large dead baby. Use embryotomy scissors to make a small cut in the skin of his neck. Through this, guided by the fingers of your other hand, feel inside his skin, until you can snip a clavicle between the tips of the opened blades. Be sure it is his clavicle and not the spine of his scapula. The ends of his clavicle will then overlap and narrow his shoulders.

Answer 2

It's a surgical division of the clavicle of the fetus in difficult labor, to facilitate passage of the shoulders through the birth canal.