Breech presentation and neonatal fracture shaft femur – A rare case presentation

Abstract

The breech extraction of the fetus through the vagina has a greater risk of hip fracture compared with the extraction by abdominal route. A 2980 g male infant was delivered at 39 weeks by elective cesarean section for breech presentation. The newborn sustained
a fracture of the right femur. A simple immobilization of the limb in extension led to a complete healing of the fracture without sequelae. This case highlights that fact that cesarean delivery reduces the risk of causing a traumatic injury of the newborn compared
to vaginal delivery; especially, with breech presentation but does not eliminate this possible accidental complication.