Head Entrapment Breech Delivery

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Breech Delivery - Johns Hopkins Hospital

    http://oacapps.med.jhmi.edu/OBGYN-101/Text/Abnormal%20L&D/Breech.htm
    Normally during a breech delivery, the fetal arms remain flexed across the chest and deliver with the fetal torso. Arm entrapment (nuchal arms) occurs when the arms become raised up over the fetal head. Not only must the head pass through the cervix, but the added bulk of one or two arms must come with it.

Head Entrapment Blogs from Doctors Without Borders

    https://blogs.msf.org/bloggers/veronica/head-entrapment
    Head entrapment is one of the scariest things we can encounter. The infant has delivered breech, but either the cervix was not fully dilated, or the head is too big, and the head cannot come out. Katie and I race to the bedside and throw gloves on. She tries first to deliver the head, but she can’t. I try.

Breech Presentation: Overview, Vaginal Breech Delivery ...

    https://emedicine.medscape.com/article/262159-overview
    Jun 15, 2016 · Footling breech presentation. Once the feet have delivered, one may be tempted to pull on the feet. However, a singleton gestation should not be pulled by the feet because this action may precipitate head entrapment in an incompletely dilated cervix or may precipitate nuchal arms.

Head entrapment in premature baby ... more MDedge ObGyn

    https://www.mdedge.com/obgyn/article/64600/practice-management/head-entrapment-premature-baby-more
    Head entrapment in premature baby. DURING BREECH VAGINAL DELIVERY of a premature infant, the child’s head became entrapped. A maternal-fetal medicine specialist was called in. Delivery took 22 minutes. The child has cerebral palsy, with severe developmental delays, and requires a gastrostomy tube and tracheotomy. ...

How You Do What You Do: Breech Delivery

    http://jacobiem.org/how-you-do-what-you-do-breech-delivery/
    Jun 18, 2013 · Head entrapment is a very serious complication of breech delivery. Since no one should feel comfortable with symphysiotomy (inserting a scalpel through the skin overlying the pubic symphysis and cutting the supporting ligments to increase the pelvic diameter as much as 12%) you may have to rely on giving uterine relaxants.

What Is Breech Head Entrapment? POPSUGAR Family

    https://www.popsugar.com/family/What-Breech-Head-Entrapment-44710111
    Jun 25, 2018 · His head became trapped inside of me as he was being born bottom first (what medical professionals refer to as "breech head entrapment," which is a common and nearly always fatal occurrence during ...

Head entrapment and neonatal outcome by mode of delivery ...

    https://www.sciencedirect.com/science/article/pii/S0002937896702053
    OBJECTIVES: We attempted to determine whether there are differences in the incidence of head entrapment and adverse neonatal outcome by mode of delivery in breech deliveries from 28 to 36 weeks of gestation.STUDY DESIGN: Computerized data and charts of 321 viable consecutive singleton breech deliveries from 28 to 36 weeks' gestation were reviewed. . Statistical methods used included χ 2 ...Author: Patricia A. Robertson, Clarissa M. Foran, Mary S. Croughan-Minihane, Sarah J. Kilpatrick

REFERENCES - UpToDate

    https://www.uptodate.com/contents/delivery-of-the-singleton-fetus-in-breech-presentation
    This topic will focus on vaginal delivery of breech singletons, with a brief discussion of breech delivery at cesarean. Choosing the best route of delivery for the fetus in breech presentation and delivery of the breech first or second twin are reviewed separately. (See "Overview of breech presentation", section on 'Approach to management'.)

Management of Breech Presentation - 2017 - BJOG: An ...

    https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/1471-0528.14465
    Where there is head entrapment, incisions in the cervix (vaginal birth) or vertical uterine incision extension (caesarean section) may be used, with or without tocolysis. Grade of recommendation: D. Management of the twin pregnancy with a breech presentation. How should a first twin in breech presentation be delivered?

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