Maternal and Perinatal Outcomes of Singleton Term Breech Vaginal Delivery at a Tertiary Care Center in Nepal: A Retrospective Analysis
Table 3
Details of women having entrapment of aftercoming fetal head.
Details
Patient 1
Patient 2
Patient 3
Patient 4
Parity
Nullipara
Nullipara
Nullipara
Nullipara
Registered/Unergistered
Unregistered
Unregistered
Unregistered
Unregistered
Period of gestation
40 weeks
412/7 weeks
40 weeks
406/7 weeks
Presentation and events
Not in labor at presentation. Admitted to the ward and planned LSCS the next day. Went into spontaneous labor and had precipitate labor (total duration 1 hour 30 minutes)
Presented in second stage of labor with entrapped head, had expulsion of trunk 15 minutes prior to presentation to hospital, cord pulsation present during admission
Presented in second stage of labor
Presented in latent stage of labor, progressed while waiting for LSCS due to busy OT
Other antenatal complications
Oligohydramnios. IUGR (missed at the time of admission).
None
Hypertensive disorder
IUGR (missed at the time of admission)
Duration of second stage
18 minutes
Not known
Not known
54 minutes
Delivery of head
By applying maneuvers
Maneuvers failed and delivered by giving Dührssen incision at cervix
By applying maneuvers
Maneuvers failed and delivered by giving Dührssen incision at cervix
Perinatal outcome
Alive/still birth
Alive
Still birth
Alive
Still birth
Birthweight
2000 grams
3750 grams
3350 grams
2100 grams
APGAR at 5 minutes
4
0
4
0
Admission
In NICU
Referred to other health facility for unavailability of NICU bed at the center
