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Case Reports in Obstetrics and Gynecology
Volume 2013, Article ID 613709, 3 pages
http://dx.doi.org/10.1155/2013/613709
Case Report

Cesarean Section and Right Femur Fracture: A Rare but Possible Complication for Breech Presentation

1Department of Surgical, Microsurgical and Medical Sciences, Gynecologic and Obstetric Clinic, University of Sassari, 07100 Sassari, Italy
2Department of Surgical, Microsurgical and Medical Sciences, Institute of Orthopedics, University of Sassari, 07100 Sassari, Italy
3Neonatology Intensive Care Unit, University of Sassari, 07100 Sassari, Italy
4Department of Surgical, Microsurgical and Medical Sciences, Institute of Radiology, University of Sassari, 07100 Sassari, Italy

Received 22 January 2013; Accepted 17 February 2013

Academic Editors: P. De Franciscis, C. S. Hsu, I. Kowalcek, and K. Takeuchi

Copyright © 2013 Giampiero Capobianco et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. The breech extraction of the fetus through the vagina has a greater risk of hip fracture compared with the extraction by abdominal route. Case. A 2390 g female infant was delivered at 39 weeks by elective cesarean section for breech presentation. The newborn sustained a fracture of the right femur. A simple immobilization of the limb in extension led to a complete healing of the fracture without sequelae. Conclusion. Caesarean delivery reduces the risk of causing a traumatic injury of the newborn compared to vaginal delivery, especially with breech presentation but does not eliminate this possible accidental complication.