PDF(Pubmed)
Abstract：
Spontaneous vaginal delivery in a tracheostomised woman is rare and literature concerning the same is also very limited, hence this might help in considering vaginal delivery at term as an option in such patients when there are no medical or obstetrical contraindications for the same. We present a case of a 24 years female patient hailing from Tamil Nadu in South India, who was tracheostomised secondary to subglottic stenosis, presented to Otorhinolaryngology department at thirty-eight weeks of gestation to know the possibility of a vaginal delivery at term. Since the patient had an uneventful obstetrical history and no medical or obstetrical contraindications for a vaginal delivery, patient was advised breathing exercises including Valsalva manoeuvre and kept under close follow up. Patient went to labor at term at thirty-nine weeks and five days of gestation, and with the help of a panel of senior doctors underwent spontaneous vaginal delivery with no complications. Vaginal delivery can be attempted in tracheostomised women, in the absence of any medical or obstetrical contra indications, if the patient is motivated and we have a panel of expert doctors from all concerned departments.
摘要：
在气管造口的女性中自发阴道分娩很少见，有关这种情况的文献也非常有限。因此，如果没有医学或产科禁忌症，这可能有助于考虑将足月阴道分娩作为此类患者的选择。我们介绍了一名来自印度南部泰米尔纳德邦的24岁女性患者，继发于声门下狭窄的气管造口术，在妊娠38周时到耳鼻咽喉科就诊，以了解足月阴道分娩的可能性。由于患者产科病史顺利，并且没有阴道分娩的医学或产科禁忌症，建议患者进行包括Valsalva动作在内的呼吸练习,并密切随访.患者在妊娠39周零5天足月分娩，在一组高级医生的帮助下，自发阴道分娩，没有并发症。可以在气管造口的女性中尝试阴道分娩，在没有任何医学或产科禁忌症的情况下，如果病人有动力，我们有一个来自所有相关部门的专家医生小组。
