title: Prehospital Breech Delivery with Fetal Head Entrapment -A Case Report and Review.
abstract: We present a case in which an emergency medical services (EMS) crew was called for a precipitous breech delivery with fetal head entrapment that was unrelieved following standard prehospital interventions and eventually resulted in neonatal cardiac arrest and death. Although this is a rare occurrence, EMS responders must have adequate training and guidelines on how to assist with vaginal delivery of breech presentation and how to appropriately manage fetal head entrapment in the field. There is little literature to provide guidance but it appears that standard EMS teaching does not represent current best obstetrical practice. We review the available literature, make expert recommendations, and provide a sample new treatment guideline for basic life support, advanced life support, and EMS physician response.
authors: Jennifer France
authors: JF
authors: Robertson
authors: Darren Alan
authors: DA
authors: Braude
authors: Jody
authors: J
authors: Stonehocker
authors: Jeremiah
authors: J
authors: Moreno
mesh_terms: D001946:Breech Presentation; D036861:Delivery, Obstetric / Q000379:methods*; D004632:Emergency Medical Services; D017809:Fatal Outcome; D005260:Female; D006257:Head; D006323:Heart Arrest; D006801:Humans; D011247:Pregnancy