Biomedical subjects
Publications and source records attributed to Sambit Mukhopadhyay.
Pregnancy in rudimentary uterine horn is rare and associated with maternal and fetal mortality and morbidity. This patient presented with unexplained abdominal pain antenataly. Laparotomy for suspected abruption at 37 weeks revealed ruptured rudimentary horn with placenta accreta. A subtotal hemihysterectomy was performed. The result was fetal salvage in good condition.
Fetuses that present by the breech are at increased risk of trauma and hypoxia during delivery. The threshold for Caesarean section for breech presentation had been low for several years. The result of the term breech trial confirms that planned Caesarean section is the best method of delivering the singleton frank or complete breech at term. The best mode of delivery for the pre-term breech is less clear. Vaginal breech delivery will be unavoidable in certain circumstances and it is therefore important to be adept with the techniques of vaginal breech delivery. The atraumatic technique of delivery of the baby presenting by the breech at times of Caesarean section is similar to that of assisted vaginal breech delivery. The number of vaginal breech deliveries is falling, and regular teaching using video clips or practising with mannequins will be necessary to preserve the skills of vaginal breech delivery.