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Case Report
Fetal vulva laceration during attempted vaginal breech delivery
1 MBBS, FMCOG, MPH Lecturer I Department of Obstetrics and Gynaecology, Prince Abubakar Audu University Anyigba, Kogi State, Nigeria
2 MBBS, MPH, FWACP, Department of Community Medicine, Prince Abubakar Audu University Teaching Hospital, Anyigba, Kogi State, Nigeria
3 MBBS, FWCOG Senior Lecturer, Department of Obstetrics and Gynaecology, Prince Abubakar Audu University Anyigba, Kogi State, Nigeria
4 MBBS, FWACS, Department of Paediatric Surgery, Federal Medical Centre, Lokoja, Nigeria
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Matthew Abubakar Akpa
MBBS, FMCOG, MPH, Lecturer I, College of Health Sciences, Prince Abubakar Audu University, Anyigba, Kogi State,
Nigeria
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Article ID: 101179Z01MA2020
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How to cite this article
Akpa MA, Alabi OJ, Akogu SPO, Odi TO. Fetal vulva laceration during attempted vaginal breech delivery. Int J Case Rep Images 2020;11:101179Z01MA2020.ABSTRACT
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 education, community sensitization, adequate training of staff, appropriate staffing, and equipping of hospitals can go a long way to avoid this complication.
Keywords: Breech delivery, Malpractice, Perineal abrasion, Vulva laceration
SUPPORTING INFORMATION
Author Contributions
Matthew Abubakar Akpa - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Oladele Joshua Alabi - Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Simon Peterside Onuche Akogu - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Temitope Olumide Odi - Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Matthew Abubakar Akpa. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
