Objective: Review of method of head extraction at breech delivery. Designe: Review of literature. Setting: Department Gynecology and Obstetric Nemocnice Milosrdných bratří, Brno. Methods: Review of textbooks, articles obtained through MEDLINE and authors’ experience. Results: Entrapment of head at breech delivery is a serious complication in about 8% deliveries. Two methods for extraction of head are available: forceps and manual maneuver. We compare advantage and disadvantage of both approaches and their evaluation in literature particularly in the Czech one. We describe own experience with forceps for aftercoming head. Conclusion: We fi nd no evidence that these two methods exert different infl uence on perinatal outcome. Preference of one of them depends on tradition and conventions of the department. Obstetrician, familiar with forceps for cephalic presentation, need not be afraid to use this procedure for aftercoming head.

        Key words: breech, entrapment of head, manual extraction, forceps for aftercoming head