Prehospital preterm difficult breech delivery – two case reports

We report on two cases of prehospital initiated precipitated preterm deliveries with breech presentation, which were completed at the hospital. Case 1 involved a precipitated breech delivery in a multipara, and case 2 an unrecognizeddizygotic (diamniotic, dichorionic) twin pregnancy, with precipitated preterm breech delivery of the first twin, in a multipara.

breech delivery, emergency

1. Habek D. Minimally assisted breech delivery. Gynaecol Perinatol 2009;18:17-22.

2. Brunette DD, Sterner SP. Prehospital and emergency department delivery: a review of eight years experience. Ann Emerg Med

1989;18:1116-8.

3. Givens ML, Westermyer R. Term incomplete breech delivery in an ambulance: a case report. J Emerg Med 2005;28:301-3.

4. Maslowitz S, Barkai G, Lessing BJ, Ziv A, Many A. Recurrent obstetric management mistakes identified by simulation. Obstet Gynecol 2007;1296-1300.

5. Silver DW, Sabatino F. Precipitous and difficult deliveries. Emerg Med Clin North Am 2012;30:961-75.

6. Mercado J, Brea I,Mendez B, Quinones H, Rodriquez D. Critical obstetric and gynecologic procedures in the emergency depatment. Emerg Clin North Am 2013;31:207-36.

7. Jan H, Guimicheva B, Gosh S, Hamid R, Penna L, Sarris I. Evaluation of healthcare professionals’ understanding of eponymous maneuvers and mnemonics in emergency obstetric care provision. Int J Gynaecol Obstet 2014;228.-31.

8. Vranješ M, Habek D. Perinatal outcome in breech presentation depending on mode of vaginal delivery. Fetal Diagn Ther 2008;23:54-9.