Breech presentation among infants with familial dysautonomia

Breech presentation at delivery: a marker for congenital anomaly?

“…Unfortunately, the mechanism controlling fetal alignment for delivery is not clear. Hypotheses to explain why the fetus fails to assume the cephalic presentation include primary fetal disorders, such as fetal neuromuscular dysfunction or neurologic deficits 2,3 or spatial considerations, such as uterine anomalies, 1 site of placental implantation 4 or amount of amniotic fluid, 5,6 which may interfere with the process of achieving cephalic presentation. These theories revolve around primarily mechanical factors due to the lack of proper fetal movement or tone, 7 a bulky hydrocephalic head or lack of proper uterine architecture due to over-distention or a lax maternal abdominal wall.…”

Necrotizing Enterocolitis in a Premature infant as the Presenting Symptom of Familial Dysautonomia in the Neonatal Period: Case Report and Review of the Literature

“…Intrauterine growth restriction, increase incidence of breech presentation, and signs of fetal distress during labor were all described in neonates with FD. 4,5 However, prematurity is rare, described only in 12% of infants with FD. The most frequent symptoms in neonates with FD are nonspecific, and include hypotonia, lethargy, somnolence, and refusal to feed and poor sucking, which leads to feeding difficulties.…”