An Intrauterine Complete Perineal Tear in a Female Neonate, A Rare Birth Injury Related to Breech Presentation: A Case Report

Authors

  • Sarika Gautam PGIMS, Rohtak
  • Shivangi Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences Rohtak Haryana, India https://orcid.org/0000-0002-5079-7754
  • Savita Rani Singhal Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences Rohtak Haryana, India https://orcid.org/0000-0002-4067-9113
  • Yogender Singh Kadian Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences Rohtak Haryana, India
  • Monika Dalal Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences Rohtak Haryana, India
  • Anjali Gupta Dr Anjali Gupta Professor Department of Obstetrics and Gynaecology Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences Rohtak, Haryana, India
  • Neetu Tomar Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences Rohtak Haryana, India

DOI:

https://doi.org/10.3126/jcmsn.v19i2.51125

Keywords:

Breech Presentation, neonate, complete perineal tear, intrauterine fetal injury, genital injury, community

Abstract

Birth injuries are wounds that a newborn receives when being delivered, whether vaginally or via lower segment caesarean section. It is a case of a 39-week pregnant female with foetal distress and breech presentation in labour who was received in the emergency labour room as a referral case after multiple per vaginal examinations done by a staff nurse at a peripheral hospital, with a complaint of leaking and bleeding per vaginum since then. Her emergency LSCS was done in view of foetal distress with breech presentation. A female baby was extracted and found to have a complete perineal tear in an otherwise healthy neonate. Her paediatric surgeon's opinion was
sought, and a complete perineal tear was done in layers with Vicryl 3-0 sutures. On follow-up, the female neonate was continent and thriving well. Unintended vaginal examinations during breech presentation could result in an intrauterine complete perineal tear if the examiner is untrained. If these injuries are identified immediately and prompt management is done, it may lead to lesser morbidity and a better quality of life.

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Author Biographies

Shivangi, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences Rohtak Haryana, India

Senior Resident

Department of Obstetrics and Gynaecology

Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences

Rohtak, Haryana, India

 

 

Savita Rani Singhal, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences Rohtak Haryana, India

Senior Professor and Unit Head (I)

Department of Obstetrics and Gynaecology

Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences

Rohtak, Haryana, India

 

Yogender Singh Kadian, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences Rohtak Haryana, India

Department of Pediatric Surgery

Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences

Rohtak, Haryana, India

 

Monika Dalal, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences Rohtak Haryana, India

Professor

Department of Obstetrics and Gynaecology

Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences

Rohtak, Haryana, Indi

 

Anjali Gupta, Dr Anjali Gupta Professor Department of Obstetrics and Gynaecology Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences Rohtak, Haryana, India

 

Dr Anjali Gupta

Professor

Department of Obstetrics and Gynaecology

Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences

Rohtak, Haryana, India

 

Neetu Tomar, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences Rohtak Haryana, India

Dr Neetu Tomar

Professor

Department of Obstetrics and Gynaecology

Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences

Rohtak, Haryana, India

 

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Published

2023-06-30

How to Cite

Gautam, S., Shivangi, Singhal, S. ., Kadian, Y. ., Dalal, M. ., Gupta, A., & Tomar, N. (2023). An Intrauterine Complete Perineal Tear in a Female Neonate, A Rare Birth Injury Related to Breech Presentation: A Case Report. Journal of College of Medical Sciences-Nepal, 19(2), 232–36. https://doi.org/10.3126/jcmsn.v19i2.51125

Issue

Section

Case Reports