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Clinical and Experimental Obstetrics & Gynecology  2018, Vol. 45 Issue (4): 618-619    DOI: 10.12891/ceog4016.2018
Case Report Previous articles | Next articles
A rare case of vaginal delivery in a woman with tracheostomy due to bilateral vocal cord paralysis
O. Koukoura1, *(), V. Plitsis2, E. Vlachakis3, A. Daponte1, I. Bizakis2, I. Hajiioannou2
1 Department of Obstetrics and Gynecology, University Hospital of Larissa, Larissa, Thessaly, Greece
2 Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Larissa, Larissa, Thessaly, Greece
3 Department of Anesthesiology, University Hospital of Larissa, Larissa, Thessaly, Greece
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Abstract  
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.
Key words:  Bilateral cord paralysis      Tracheostomy      Vaginal delivery      Labor     
Published:  10 August 2018     
*Corresponding Author(s):  O. KOUKOURA     E-mail:  okoukoura@yahoo.com

Cite this article: 

O. Koukoura, V. Plitsis, E. Vlachakis, A. Daponte, I. Bizakis, I. Hajiioannou. A rare case of vaginal delivery in a woman with tracheostomy due to bilateral vocal cord paralysis. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(4): 618-619.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog4016.2018     OR     https://ceog.imrpress.com/EN/Y2018/V45/I4/618

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