Decompressive Craniotomy in the Management of Entrapment of after Coming Head of Breech with Intrapartum Fetal Death in a Rural Centre: A Case Report

  • B Babatola
  • OO Badejoko
  • A Olumide
  • A Akinyemi

Abstract

Background: Several studies have demonstrated a high prevalence of strong aversion for caesarean section among Nigerian women; hence, interventions of proven efficacy in reducing caesarean section rate are crucial. Although controversial in modern day obstetric practice, destructive operation is still of importance in reducing caesarean section rates in Nigeria, especially in the rural setting.
Case: A case of breech delivery complicated with intra-partum fetal death and entrapment of the aftercoming head is presented. The patient  presented with a fresh stillbirth dangling in the introitus in breech presentation with the head entrapped in the pelvis. A de-compressive craniotomy was performed with subsequent delivery of the entrapped after-coming head.
Results: There were no post-procedure complications.
Conclusion: Training of medical personnel in the skills of destructive  operation is recommended, as it still has a role in reducing caesarean section in rural settings.
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eISSN: 0189-5117