IMR Press / CEOG / Volume 45 / Issue 4 / DOI: 10.12891/ceog4016.2018

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Case Report
A rare case of vaginal delivery in a woman with tracheostomy due to bilateral vocal cord paralysis
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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
Clin. Exp. Obstet. Gynecol. 2018, 45(4), 618–619;
Published: 10 August 2018

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.
Bilateral cord paralysis
Vaginal delivery
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