Fetal Craniotomy

Authors

  • Bikash Shrestha National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal.
  • Sandip Gupta Lamjung District Community Hospital, Lamjung, Nepal.
  • Lomi Chawnghlut Lamjung District Community Hospital, Lamjung, Nepal.
  • Bipindra Khaniya Lamjung District Community Hospital, Lamjung, Nepal.

DOI:

https://doi.org/10.31729/jnma.2759

Keywords:

after coming head; breech; craniotomy; obstetrical emergency.

Abstract

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.

References

1. Wongwananuruk T, Rattanachaiyanont M. Entrapment of
After-coming Head in Cesarean Breech Delivery of Term
Pregnancy: A Case Report. Siriraj Med J. 2008;60(6):356-9.
2. Shushan A, Younis JS. McRobertsmaneuver for the
management of the aftercoming head in breech delivery.
GynecolObstet Invest. 1992;34(3):188-9.
3. Robertson PA, Foran CM, Croughan-Minihare MS, Kilpatrick
SJ. Head entrapment and neonatal outcome by mode of
delivery in breech deliveries from 28-36 weeks gestation. Am
J ObstetGynaecol. 1996;17(6):1742-9.
4. Tariq TA, Korejo R. Evaluation of the role of craniotomy in
developing countries. J Pak Med Assoc. 1993 Feb;43(2):30-2.
5. Myers SA, Gleicher N. Breech delivery: why the dilemma?
Am J Obstet Gynecol. 1987 Jan;156(1):6-10.
6. Menticoglou SM. Symphysiotomy for the Trapped
Aftercoming Parts of the Breech: A Review of the Literature
and a Plea for Its Use. Aust N Z J Obs& Gynae.1990;30:1-9.
7. Myerscougb, P.R. Munro Kerr’s Operative Obstetrics. 9th ed.
London: BailliereTindall; 1977;572.
8. Philpott RH. Obstructed labour. Clin. ObstetGynaecol.
1980;7:601-19.
9. Lawson, J.B. Obstructive labour, in obstetrics and
gynaecology in the tropics and developing countries.
London:Arnold;1967;193.

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How to Cite

Shrestha, B., Gupta, S., Chawnghlut, L., & Khaniya, B. (2014). Fetal Craniotomy. Journal of Nepal Medical Association, 52(194), 825–827. https://doi.org/10.31729/jnma.2759

Issue

Vol. 52 No. 194 (2014)

Section

Case Reports

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