Neonatal Perineal Tear: A Rare Birth Injury

Singh, Irom Keshorjit

doi:10.47338/jns.v5.276

Cited by 2 publications

(6 citation statements)

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“…Mrs. AS was unbooked, had no investigations done because the referral center, did not have the facilities, and her labor was attended to by an unskilled birth attendant who performed several vaginal examinations on the patient in labor leading to perineal abrasion and vulva hematoma and laceration in the neonate. A similar case was reported in India where a breech delivery was conducted by the local traditional healer [17]. This scenario is a common malpractice in developing countries [19].…”

Section: Discussionmentioning

confidence: 52%

“…The types of injury which can occur include soft tissue injury like erythema, abrasion, ecchymosis, bruising, petechiae, hematoma, fat necrosis, laceration, and perineal tear. Other injuries involving the genitalia include vulva laceration and hematoma in females, scrotal and testicular injury (edema, hematoma) and castration in males [3,14,15,17] (Table 2). The baby had skin abrasion with laceration on the left vulva and hematoma of the right vulva.…”

Section: Discussionmentioning

confidence: 99%

“…Infected wounds from late presentation require debridement and antibiotics. More extended injuries have been managed using diverting stoma and primary repair [4]. Oftentimes there may be associated injuries that will require additional treatment measures like orthopedic and physiotherapy [21].…”

Section: Discussionmentioning

confidence: 99%

“…Prognosis is affected by extent of injuries, time of presentation, and institution of management. More severe injuries and late presentations worsen prognosis [1,3,4]. Early presentation and prompt treatment leads to a better outcome.…”

Section: Discussionmentioning

confidence: 99%

“…Trauma to the fetal vulva and perineum is an infrequent and life-threatening complication of breech presentation [1,2]. It can occur during artificial rupture of membrane, assisted breech delivery by untrained staff [3], attempt to manually rotate the fetus from an abnormal position [4] and during caesarean section [1].…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Fetal vulva laceration during attempted vaginal breech delivery

Matthew¹,

Oladele²,

Peterside³

et al. 2020

Int J Case Rep Images

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An Intrauterine Complete Perineal Tear in a Female Neonate, A Rare Birth Injury Related to Breech Presentation: A Case Report

Gautam,

Shivangi,

Singhal

et al. 2023

J Coll Med Sci-Nepal

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Birth injuries are wounds that a newborn receives when being delivered, whether vaginally or via lower segment caesarean section. It is a case of a 39-week pregnant female with foetal distress and breech presentation in labour who was received in the emergency labour room as a referral case after multiple per vaginal examinations done by a staff nurse at a peripheral hospital, with a complaint of leaking and bleeding per vaginum since then. Her emergency LSCS was done in view of foetal distress with breech presentation. A female baby was extracted and found to have a complete perineal tear in an otherwise healthy neonate. Her paediatric surgeon's opinion wassought, and a complete perineal tear was done in layers with Vicryl 3-0 sutures. On follow-up, the female neonate was continent and thriving well. Unintended vaginal examinations during breech presentation could result in an intrauterine complete perineal tear if the examiner is untrained. If these injuries are identified immediately and prompt management is done, it may lead to lesser morbidity and a better quality of life.

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Neonatal Perineal Tear: A Rare Birth Injury

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Cited by 2 publications

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Fetal vulva laceration during attempted vaginal breech delivery

Fetal vulva laceration during attempted vaginal breech delivery

An Intrauterine Complete Perineal Tear in a Female Neonate, A Rare Birth Injury Related to Breech Presentation: A Case Report

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