Extremely Preterm (23 Weeks) Vaginal Cephalic Delivery En Caul and Subsequent Postpartum Intraventricular Hemorrhage and Respiratory Distress: A Teaching Case
En caul deliveries are defined as a fetus that is delivered completely contained within an amniotic sac and are considered to be less common than 1 in 80,000 live births. Vaginal en caul births compared to abdominal or cesarean are the rarest subtype. Most en caul births are associated with prematur...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2018/5690125 |
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| author | Rohail Malik Adil Sarfraz Raihan Faroqui William Onyebeke Jeffrey Wanerman |
| author_facet | Rohail Malik Adil Sarfraz Raihan Faroqui William Onyebeke Jeffrey Wanerman |
| author_sort | Rohail Malik |
| collection | DOAJ |
| description | En caul deliveries are defined as a fetus that is delivered completely contained within an amniotic sac and are considered to be less common than 1 in 80,000 live births. Vaginal en caul births compared to abdominal or cesarean are the rarest subtype. Most en caul births are associated with prematurity and low gravida. The combination of prematurity, high gravida, vaginal en caul birth, and severe postpartum complications has not previously been described. We report a woman with gravida of 12 delivering vaginally a neonate female en caul at the extremely preterm gestational age of 23 weeks. The neonate subsequently decompensated, underwent respiratory distress, and was diagnosed with a bilateral intraventricular hemorrhage. Owing to deteriorating status, supportive care was removed and the infant was pronounced dead 5 days after delivery. |
| format | Article |
| id | doaj-art-610c38a50e314fc4a00ca0d3c24f9d4a |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-610c38a50e314fc4a00ca0d3c24f9d4a2025-02-03T05:59:49ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922018-01-01201810.1155/2018/56901255690125Extremely Preterm (23 Weeks) Vaginal Cephalic Delivery En Caul and Subsequent Postpartum Intraventricular Hemorrhage and Respiratory Distress: A Teaching CaseRohail Malik0Adil Sarfraz1Raihan Faroqui2William Onyebeke3Jeffrey Wanerman4Department of Obstetrics & Gynecology, Southside Hospital, Northwell Health, 301 East Main Street, Bay Shore, NY 11706, USADepartment of Obstetrics & Gynecology, Southside Hospital, Northwell Health, 301 East Main Street, Bay Shore, NY 11706, USADepartment of Obstetrics & Gynecology, Southside Hospital, Northwell Health, 301 East Main Street, Bay Shore, NY 11706, USADepartment of Obstetrics & Gynecology, Southside Hospital, Northwell Health, 301 East Main Street, Bay Shore, NY 11706, USADepartment of Obstetrics & Gynecology, Southside Hospital, Northwell Health, 301 East Main Street, Bay Shore, NY 11706, USAEn caul deliveries are defined as a fetus that is delivered completely contained within an amniotic sac and are considered to be less common than 1 in 80,000 live births. Vaginal en caul births compared to abdominal or cesarean are the rarest subtype. Most en caul births are associated with prematurity and low gravida. The combination of prematurity, high gravida, vaginal en caul birth, and severe postpartum complications has not previously been described. We report a woman with gravida of 12 delivering vaginally a neonate female en caul at the extremely preterm gestational age of 23 weeks. The neonate subsequently decompensated, underwent respiratory distress, and was diagnosed with a bilateral intraventricular hemorrhage. Owing to deteriorating status, supportive care was removed and the infant was pronounced dead 5 days after delivery.http://dx.doi.org/10.1155/2018/5690125 |
| spellingShingle | Rohail Malik Adil Sarfraz Raihan Faroqui William Onyebeke Jeffrey Wanerman Extremely Preterm (23 Weeks) Vaginal Cephalic Delivery En Caul and Subsequent Postpartum Intraventricular Hemorrhage and Respiratory Distress: A Teaching Case Case Reports in Obstetrics and Gynecology |
| title | Extremely Preterm (23 Weeks) Vaginal Cephalic Delivery En Caul and Subsequent Postpartum Intraventricular Hemorrhage and Respiratory Distress: A Teaching Case |
| title_full | Extremely Preterm (23 Weeks) Vaginal Cephalic Delivery En Caul and Subsequent Postpartum Intraventricular Hemorrhage and Respiratory Distress: A Teaching Case |
| title_fullStr | Extremely Preterm (23 Weeks) Vaginal Cephalic Delivery En Caul and Subsequent Postpartum Intraventricular Hemorrhage and Respiratory Distress: A Teaching Case |
| title_full_unstemmed | Extremely Preterm (23 Weeks) Vaginal Cephalic Delivery En Caul and Subsequent Postpartum Intraventricular Hemorrhage and Respiratory Distress: A Teaching Case |
| title_short | Extremely Preterm (23 Weeks) Vaginal Cephalic Delivery En Caul and Subsequent Postpartum Intraventricular Hemorrhage and Respiratory Distress: A Teaching Case |
| title_sort | extremely preterm 23 weeks vaginal cephalic delivery en caul and subsequent postpartum intraventricular hemorrhage and respiratory distress a teaching case |
| url | http://dx.doi.org/10.1155/2018/5690125 |
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