The reason for the vertical incision being easier for extraction is the same: generally, in the uterus of the mother, the fetal head-down position offers a more open view for the doctor, unlike the horizontal incision where the doctor's view and operation are restricted in every way.
Since beauty is important to women, most obstetricians, thinking of their female patients, continue to challenge themselves with the horizontal incision for fetal extraction. When facing difficult fetal extractions, clever solutions must be employed.
For example, if the fetal head is high and hard to extract, the surgical incision can be moved upward.
