Background: Obstructed labor with the fetal head impacted in the pelvis is an obstetric complication that requires cesarean delivery with skillful handling to avoid serious maternal and neonatal outcomes complications. So, the extraction and delivery of the fetal head can be done by reverse breech extraction. Objective: The objective of this study was to compare the maternal and fetal outcome of the reverse breech extraction versus standard method in Caesarean section for obstructed labour with deeply engaged fetal head. Subjects and Methods: This .prospective study was carried out at Zagazig University Hospital, Egypt during the period from January 2017 to October 2017, this study included (40) patient submitted in emergency caesarian section with deeply engaged fetal head. Results: showed that complication was statistically significant decrease in reverse breech extraction in comparison to standard group with intra operative and postoperative maternal complication, mean length stay in hospital and wound infection. Conclusion: Reverse breech extractions is an attractive and safe alternative to the standard method for intraoperative disengagement of a deeply impacted fetal head in reducing maternal and fetal morbidly.