1/2. Long bone fractures in extreme low birth weight infants at birth: obstetrical considerations.BACKGROUND: cesarean section is a common delivery route for breech fetuses < 1000 gm to prevent trauma. However, abdominal and vaginal delivery maneuvers are similar. cesarean section avoids the risk of head entrapment but long bone trauma can still occur. CASES: We identified three neonates with femoral fractures during a one year period. All mothers were in active labor. All were premature newborns less than 32 weeks gestation, in breech presentation and delivered by a low vertical cesarean section. review of all cesarean sections done due to mal presentation (n = 26) during that time showed 11 classic and 15 lower segment vertical incisions (both vertical and transverse). CONCLUSIONS: The interest to reduce maternal morbidity may prompt physicians to perform a low segment vertical incision for delivery of a preterm breech. This decision may increase the chances of trauma by providing less area for the required obstetric maneuvers.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/2. Term incomplete breech delivery in an ambulance: a case report.Breech deliveries are the most common form of fetal malpresentations and are associated with significant risk for morbidity and mortality to mother and infant. There is an increased chance that emergency physicians may encounter breech deliveries as more women with known breech presentations are given the option for a trial of labor in lieu of mandatory caesarean section. Emergency physicians should be prepared for the complications that are associated with breech delivery and recognize the different maneuvers required to successfully deliver a breech infant.- - - - - - - - - - ranking = 2keywords = physician (Clic here for more details about this article) |