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Related Experiment Videos

Fetal Craniotomy.

B Shrestha1, S Gupta2, L Chawnghlut2

  • 1National Academy of Medical Sciences, Bir Hospital, Kathmandu.

JNMA; Journal of the Nepal Medical Association
|February 25, 2016
PubMed
Summary

Vaginal breech delivery complications, like after-coming head entrapment, pose risks. Craniotomy offers a life-saving alternative to Cesarean section for non-viable fetuses, reducing maternal morbidity.

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Area of Science:

  • Obstetrics and Gynecology
  • Perinatology
  • Surgical Emergencies

Background:

  • Cesarean section is the predominant delivery method for breech presentation, even in developing nations.
  • Vaginal breech delivery remains the sole option in rural areas, carrying risks of birth trauma, particularly to the after-coming head.
  • After-coming head entrapment is an unpredictable obstetrical emergency during vaginal breech delivery.

Observation:

  • A case of a 6-hour home delivery involving entrapment of the after-coming head of a deceased preterm fetus is presented.
  • The management of this specific emergency scenario was reviewed.

Findings:

  • Craniotomy is a viable option for delivering the after-coming head when the fetus is non-viable.
  • This procedure can avert the maternal morbidity associated with an unnecessary Cesarean section in such critical situations.
Keywords:
after coming head; breech; craniotomy; obstetrical emergency.

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Implications:

  • Craniotomy can be a crucial intervention in managing non-viable breech presentations with after-coming head entrapment, especially in resource-limited settings.
  • This approach highlights the importance of considering alternative procedures to minimize maternal complications during childbirth emergencies.
  • Reviewing such cases aids in refining management protocols for unpredictable obstetrical emergencies in breech deliveries.