Successful management of fetal hydrocephalus-induced dystocia in a non-descript doe
Annotatsiya
A non-descript doe in its second parity was presented with dystocia following prolonged straining and rupture of the water bag. Vaginal examination revealed an anterior-longitudinal presentation with an abnormally large fetal head and absent fetal reflexes, suggestive of fetal hydrocephalus. Under epidural anaesthesia, the dead foetus was delivered per-vaginally using an obstetrical hook with mild traction. Radiography and CT confirmed cranial fluid accumulation, calvarial thinning and skull defects. Post-operative supportive therapy, including fluids, antibiotics and ecbolics, led to uneventful recovery. This case illustrates that careful assessment of fetal presentation can allow even hydrocephalus-induced dystocia to be relieved through minimally invasive per-vaginal delivery.
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