Fetal Neck Mass As A Cause of Obstructed Labour - An Anaesthesiologist’s and Obstetrician’s Nightmare

Abstract

Fetal neck masses cause a nightmare for obstetrician and anaesthesiologist when delivery is conducted. The techniques and methods of the delivery vary with experience of the surgeon and it is a real emergency when there is an obstruction and fetus is not delivered in time. It may cause hypoxia and cardiac arrest  or aspiration to the baby to be delivered. Appropriate experienced team of obstetrician, anaesthesiologist and neonatologist is required to conduct these deliveries. Giant fetal mass is most common indication where Ex-utero intrapartum treatment can be done in experienced hands. Here we present a case where a giant neck mass was delivered by turning the fetus to breech position and was delivered smoothly.