scholarly journals Obstetric fracture of the femur during cesarean section in a preterm baby: A case report

2021 ◽  
Vol 2 (3) ◽  
pp. 22-24
Author(s):  
Freddy Mertens Bombah ◽  
Alphonse Ngalame ◽  
René Essomba ◽  
Yannick Ekani Boukar ◽  
Enrique Zoa Nkoa ◽  
...  
Keyword(s):  
Case Report ◽  
Cesarean Section ◽  
Femoral Fractures ◽  
Breech Presentation ◽  
Male Infant ◽  
Shaft Fracture ◽  
Long Bones ◽  
Preterm Baby ◽  
Breech Delivery ◽  
Lower Segment Cesarean Section

Introduction: Obstetric fractures or Birth fractures are rare events following childbirth. Although fracture of the femur is a relatively uncommon injury, it is the most common fracture of the lower extremity in the newborn. Since evolution of cesarean section rates in Africa, it is one of the most commonly practiced modes of delivery for breech. We described one case of fracture of the femur at cesarean section treated at Adlucem hospital in bonabéri-Douala (Cameroon). Case report: A 2.1 kg male infant was delivered by lower segment cesarean section for breech presentation. Clinical and radiological examination showed shaft fracture of femur with good evolution. Discussion: Fractures of the long bones are associated with cesarean section, breech delivery with assistance and low birth weight. Femoral fractures are the most associated long bones fracture with cesarean section. Conclusion: The clinical and paraclinical diagnosis is simple and the management is mostly non-operative. It is important to explain to the parents and especially to the mother the benignity of the lesion.

scholarly journals Placental Teratoma Presenting as a Lobulated Mass behind the Neck of Fetus: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-2 ◽  
Author(s):  
Adiga Prashanth ◽  
Rai Lavanya ◽  
K. M. Girisha ◽  
Anjali Mundkur
Keyword(s):  
Case Report ◽  
Cesarean Section ◽  
Germ Cells ◽  
Histopathological Examination ◽  
Breech Presentation ◽  
Fetal Outcome ◽  
Lower Segment ◽  
Lower Segment Cesarean Section ◽  
Cell Layers ◽  
Gross Examination

Placental teratoma is a rare nontrophoblastic benign tumour, which is thought to arise from germ cells. These tumours contain elements derived from multiple germ cell layers. We report a case of teratoma, where on ultrasound; there were two echogenic masses of 4 cm × 5 cm and 3 cm × 4 cm, arising from the placenta. Elective lower segment cesarean section was done in view of breech presentation at 38 weeks of gestation. Gross examination of the placenta showed two lobulated masses of 5 cm × 5 cm and 4 cm × 4.5 cm, respectively. Histopathological examination of the placenta was suggestive of teratoma of the placenta. The fetus was normal.The maternal and fetal outcome was good.

scholarly journals Fetal Craniotomy

1970 ◽  
Vol 52 (194) ◽  
pp. 825-827
Author(s):  
Bikash Shrestha ◽  
Sandip Gupta ◽  
Lomi Chawnghlut ◽  
Bipindra Khaniya
Keyword(s):  
Cesarean Section ◽  
Present Report ◽  
Breech Presentation ◽  
Home Delivery ◽  
Birth Trauma ◽  
Vaginal Route ◽  
Breech Delivery ◽  
The Common ◽  
Obstetric Forceps ◽  
Obstetrical Emergency

Nowadays, even in developing countries Cesarean section is the most common method of delivery for the breech presentation. However, in rural parts of the countries still vaginal route is the only option. Trauma to the after coming head is the common issue among the contributors of birth trauma during breech delivery. Entrapment of after coming head is an unpredictable obstetrical emergency. If the fetus is alive, options from application of obstetric forceps to giving Dührssen incisions can be kept in choice. Cesarean section is done when all the methods fail to deliver the head. But, when the fetus is not salvageable, delivery of after coming head by craniotomy can reduce unnecessary morbidity of Cesarean section. In the present report, a case with entrapment of after coming head of dead preterm fetus for 6 hrs of home delivery was described and the management of this condition was reviewed.  Keywords: after coming head; breech; craniotomy; obstetrical emergency.

scholarly journals REVIVAL OF VAGINAL BREECH DELIVERY

1969 ◽  
Vol 5 (1) ◽  
pp. 597-602
Author(s):  
NASIM AKHTAR
Keyword(s):  
Cesarean Section ◽  
Neonatal Mortality ◽  
Post Partum ◽  
Mode Of Delivery ◽  
Breech Presentation ◽  
Neonatal Morbidity ◽  
Maternal Complications ◽  
Breech Delivery ◽  
Vaginal Breech Delivery ◽  
Emergency Cesarean

BACKGROUND: Since the publication of term breech trail there had been a dramatic changeworldwide from selective to planned Cesarean Section for all women with breech presentation at term.This high cesarean section rate led to adverse consequences in subsequent pregnancy &on futurefertility. Choice of safest mode of delivery has always been a dilemma.OBJECTIVE: Prospective interventional study. This study was done to determine the safety of vaginalbreech birth in terms of neonatal & maternal complications, so that to encourage the trend of breechdelivery in carefully selected cases & to discourage the trend of routinely recommending cesareansection for all gravidas with fetus in breech presentation at term. The study was conducted atDepartment of Obstetrics & Gynae Mardan Medical Complex from January 2010 to December 2015.PATIENTS & METHOD: About 809 patients with singleton pregnancy with breech presentation wereincluded. Decision about mode of delivery was taken on the basis of clinical judgment and ultrasoundwhich was further reviewed in the light of rate of progress during labour .Delivery was conducted byexperienced obstetrician. Mother & infants were followed up to 6 wks post partum. The primaryoutcome was neonatal mortality, infant mortality & serious infant morbidity.RESULTS: out of 809 total patients with breech presentation, 714 were planned for vaginal delivery674 delivered (83%) while 40 pts (5%) had emergency Cesarean Sections.95 patients (12%) hadElective cesarean section. In the delivery group two (0.29%) neonates had serious neonatal morbidity. Inthe cesarean group there was no serious neonatal morbidity. Infection & blood loss was greater in thecesarean group. There were no serious maternal complications in the vaginal delivery group. Thedifference between neonatal morbidity, perinatal mortality &neonatal mortality between the two groupswas not significant.CONCLUSION: Vaginal breech delivery is still a safe option which better suits the clinical situation&problems of our patients .In our set up, Cesarean section should not be routinely advised to patientswith breech presentation no matter it may be the best management option in developed countries.Careful case selection & vigilant monitoring of progress of labour will save many patients fromunnecessary section without costing extra morbidity & mortality.KEY WORDS: Breech presentation, Breech Delivery, Cesarean section, Apgar score.

scholarly journals Fracture of the Femur of A Newborn after Cesarean Section for Breech Presentation and Fibroid Uterus : A Case Report and Literature Review

2014 ◽  
Vol 4 (1) ◽  
pp. 18-20 ◽  
Author(s):  
Ibrahima Farikou ◽  
◽  
Ngo Nonga Bernadette ◽  
Handy Eone Daniel ◽  
Sosso Maurice Aurélien
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Cesarean Section ◽  
Breech Presentation ◽  
Fibroid Uterus

Meconium Cyct in Preterm Baby

2020 ◽  
Keyword(s):  
Case Report ◽  
Cesarean Section ◽  
Bowel Perforation ◽  
Abdominal Distention ◽  
Meconium Peritonitis ◽  
Preterm Baby ◽  
Perforation Peritonitis ◽  
Term Baby ◽  
Chemical Peritonitis

Meconium cyst in pre-term baby is rare. Meconium pseudo cyst is a complication of meconium peritonitis which is a sterile chemical peritonitis due to intrauterine bowel perforation. When the perforation in the intestine does not heal and communication with the cyst persist postnatal that can lead to cyst expansion, infection of the cyst or rupture of pseudo cyst. This is a case report of a neonate with rupture of meconium pseudo cyst causing perforation peritonitis [1]. Our case is preterm 32 weeks part of twins, cesarean section presented with huge abdominal distention diagnosed prenatal as meconium cyst.

Cardiovascular Collapse Under Spinal Anesthesia

2009 ◽  
Vol 1 (3) ◽  
pp. 67-69
Author(s):  
Randhir Puri ◽  
K Anand Shankar ◽  
Y Singh
Keyword(s):  
Case Report ◽  
Cesarean Section ◽  
Amniotic Fluid ◽  
Spinal Anesthesia ◽  
Fetal Distress ◽  
Cardiovascular Collapse ◽  
Lower Segment ◽  
Presumptive Diagnosis ◽  
Lower Segment Cesarean Section ◽  
High Spinal Anesthesia

ABSTRACT A 20 years old ASA I full term primigravida in labor, underwent an emergency lower segment cesarean section under spinal anesthesia, the indication being fetal distress. Immediately following delivery of fetus, she complained of severe breathlessness and suffered a cardiovascular collapse. A presumptive diagnosis of high spinal anesthesia was made and she was managed accordingly. Thirty minutes later she developed angioedema which increased in severity over the next two hours and a diagnosis of anaphylactic reaction was made. The patient responded to intravenous adrenaline and recovered over next 24 hours. The aim of this case report is to discuss cardiovascular collapse and its etiological factors, such as anaphylaxis, amniotic fluid embolism and high spinal anesthesia during cesarean section.

scholarly journals Delayed Birth-Related Femur Fracture after Cesarean Section: A Case Report

2018 ◽  
Vol 08 (03) ◽  
pp. e158-e160 ◽  
Author(s):  
Yuji Kanai ◽  
Yoshinobu Honda ◽  
Tsuyoshi Honda ◽  
Minoru Sanpei
Keyword(s):  
Case Report ◽  
Cesarean Section ◽  
Physical Examination ◽  
Femur Fracture ◽  
Delayed Diagnosis ◽  
Breech Presentation ◽  
Plaster Cast ◽  
Birth Trauma ◽  
Plain Radiography ◽  
Femur Fractures

Background Birth-related femur fractures are rare. They have been reported following difficult delivery and are commonly diagnosed immediately after birth or on the following day. However, some birth-related femur fractures are diagnosed several days after birth. Mechanisms underlying the development of delayed femur fracture are incompletely understood. Case We report the case of a girl diagnosed with a left spiral femur fracture with associated edema and hypoesthesia on postpartum day 9. A nondisplacement femur fracture was identified on plain radiography at birth after cesarean section; however, it was undiagnosed due to the lack of symptoms. She was treated with plaster cast fixation; the physical examination at age 1 was normal. Herein, the diagnosis of birth-related femur fracture according to plain radiography findings suggests that the symptoms related to birth trauma develop several days after birth. Conclusion Birth-related fracture should be considered in all neonatal femur fracture cases and in patients with no symptoms at birth. Neonates delivered in the breech presentation by cesarean section should be carefully monitored after birth. The findings of the present case further our understanding of the pathogenic mechanisms underlying delayed diagnosis of birth-related femur fracture.

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