A rare case of vaginal delivery in a woman with tracheostomy due to bilateral vocal cord paralysis

被引：1

作者：

Koukoura, O. ^{[1
]}

Plitsis, V ^{[2
]}

Vlachakis, E. ^{[3
]}

Daponte, A. ^{[1
]}

Bizakis, I ^{[2
]}

Hajiioannou, I ^{[2
]}

机构：

[1] Univ Hosp Larissa, Dept Obstet & Gynecol, Larisa, Thessaly, Greece

[2] Univ Hosp Larissa, Dept Otorhinolaryngol Head & Neck Surg, Larisa, Thessaly, Greece

[3] Univ Hosp Larissa, Dept Anesthesiol, Larisa, Thessaly, Greece

来源：

CLINICAL AND EXPERIMENTAL OBSTETRICS & GYNECOLOGY | 2018年 / 45卷 / 04期

关键词：

Bilateral cord paralysis; Tracheostomy; Vaginal delivery; Labor; PREGNANCY;

D O I：

10.12891/ceog4016.2018

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

The authors present a rare case of a pregnant woman who had an emergency tracheostomy procedure during the third trimester of pregnancy due to respiratory distress, secondary to bilateral vocal cord paralysis. The patient achieved a vaginal delivery by coordinated occlusion of the tracheostomy during the pushing efforts. Data concerning antenatal management and mode of delivery in women with vocal cord paralysis and/or tracheostomy are extremely rare. Main concern in pregnant women with tracheostomy is their ability to perform Valsalva maneuver efficiently during the second stage of labor. However, when the women desires a vaginal delivery, provided that there is a good support to the laboring woman and a team of experts available, vaginal delivery should be attempted.

引用

页码：618 / 619

页数：2