ArticleCureus2024
Footling Breech Delivery in an Emergency Department Without Obstetrical Services: A Case Report.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Hospitals without formal obstetric services place the emergency physician in the position of managing potentially complicated precipitous labor and delivery such as breech presentations. Breech deliveries pose an increased risk of significant morbidity and mortality to both the mother and fetus. Recent emphasis on cesarean section as the optimal delivery method for breech presentation has decreased education and comfort levels with breech vaginal deliveries. This case study highlights a patient who presented to a suburban emergency department (ED) in active labor with a footling breech presentation. No obstetrical services were available. The delivery was successful, and the neonate was resuscitated. Though emergency medicine residents receive training in standard vaginal deliveries, most residents do not receive firsthand experience with difficult deliveries. This case highlights the need for policy and procedure and annual competency training for physicians and allied staff in ED facilities without obstetrical services. Structured protocols and annual simulation training will improve outcomes for imminent deliveries with potential complications.
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