Intrauterine rectovaginal tear during a manual attempt to rotate a neonate

Al-Benna, Sammy; Tzakas, Elias

doi:10.1016/j.jpedsurg.2010.05.035

Cited by 4 publications

(5 citation statements)

References 27 publications

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“…While the overall complication rate associated with ECV is low, [3][4][5][6][7] ECV is not without potential complications, which range from relatively minor events such as transient changes in fetal heart-rate patterns or ruptured membranes, through to rare but serious adverse outcomes including placental abruption and feto-maternal transfusion, [3][4][5][6][7][8][9][10][11] fetal distress requiring emergency caesarean section, [3][4][5][6] cord prolapse, 5,6 fracture of fetal bones, 5,12 and fetal death. 4,[13][14][15] Case reports of uterine torsion with associated fetal bradycardia, 16 fetal recto-vaginal tear requiring colostomy 17 and a fetal spinal cord transection believed to be secondary to a successful ECV exist. 18 The objective of this study was to ascertain the complications of ECV in a large cohort of consecutive ECV attempts in a single tertiary institution.…”

Section: Introductionmentioning

confidence: 99%

Complications of external cephalic version: a retrospective analysis of 1121 patients at a tertiary hospital in Sydney

Rodgers

Beik

Nassar

et al. 2016

BJOG

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Section: Introductionmentioning

confidence: 99%

Complications of external cephalic version: a retrospective analysis of 1121 patients at a tertiary hospital in Sydney

Rodgers

Beik

Nassar

et al. 2016

BJOG

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“…Trauma to the genitalia and perineum is a rare complication of delivery. It is more common in malpresentations like breech and during difficult delivery especially manipulations to correct malpresentation [16]. This was the case with Mrs. AS.…”

Section: Discussionmentioning

confidence: 86%

Fetal vulva laceration during attempted vaginal breech delivery

Matthew¹,

Oladele²,

Peterside³

et al. 2020

Int J Case Rep Images

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Introduction: Trauma to the fetal vulva and perineum is an infrequent and life-threatening complication of breech presentation. The objective of this case report is to highlight the possibility of such injury, need for proper training of health personnel, and draw attention to the issue of malpractice and litigation.Case Report: Consent for this study and medical photographs was obtained from the patient. We present a case of a 28-year-old G5P1+3 non-alive patient with one previous Caesarean section who presented with antepartum hemorrhage and breech presentation of the fetus at term. She subsequently had emergency repeat lower segment caesarean section done and a live baby was delivered. Baby was examined and perineal and vulva laceration with vulva hematoma seen. This complication was subsequently managed with good outcome. Conclusion:Trauma to the genitalia and perineum of the fetus though a rare complication of delivery can occur as a result of poor health seeking behavior and lack of skilled birth attendants resulting in malpractice. Health

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“…It can also occur during cesarean delivery due to blunt dissection of endometrium or bimanual traction while delivering the breech from maternal pelvis. There are very few case reports regarding anal injuries in breech delivery, [1][2][3][4] but this is probably the first such incidence where it occurred due to artificial rupture of membranes. This injury stimulated baby to pass meconium in-utero which could be life threatening.…”

Section: Dear Sirmentioning

confidence: 99%

“…The more severe degree laceration of sphincter or those extending into rectum or genitalia are managed by a diverting stoma and primary repair. [1][2][3][4]…”

Section: Dear Sirmentioning

confidence: 99%