剖宫产与右股骨骨折：臀先露一种罕见但可能出现的并发症。

Capobianco Giampiero, Virdis Giuseppe, Lisai Pietro, Cherchi Claudio, Biasetti Ornella, Dessole Francesco, Meloni Giovanni Battista

Department of Surgical, Microsurgical and Medical Sciences, Gynecologic and Obstetric Clinic, University of Sassari, 07100 Sassari, Italy.

Case Rep Obstet Gynecol. 2013;2013:613709. doi: 10.1155/2013/613709. Epub 2013 Mar 6.

Background. The breech extraction of the fetus through the vagina has a greater risk of hip fracture compared with the extraction by abdominal route. Case. A 2390 g female infant was delivered at 39 weeks by elective cesarean section for breech presentation. The newborn sustained a fracture of the right femur. A simple immobilization of the limb in extension led to a complete healing of the fracture without sequelae. Conclusion. Caesarean delivery reduces the risk of causing a traumatic injury of the newborn compared to vaginal delivery, especially with breech presentation but does not eliminate this possible accidental complication.

背景。与经腹部途径娩出胎儿相比，经阴道臀位牵引娩出胎儿时发生髋部骨折的风险更高。病例。一名体重2390克的女婴因臀位在39周时行择期剖宫产娩出。新生儿发生右股骨骨折。简单地将肢体伸直固定后，骨折完全愈合，无后遗症。结论。与阴道分娩相比，剖宫产可降低新生儿发生创伤性损伤的风险，尤其是臀位分娩时，但并不能消除这种可能的意外并发症。