2018 AMI Online Salon

Neurovascular Injuries From Improper Footling Breech Delivery Technique

Project Details

  • Artist(s):  Ethan Geehr
  • Contributors: Ethan Geehr; MOORESTOWN, New Jersey
  • Client: Law Firm
  • Copyright: © 2017 Ethan Geehr
  • Medium / software used: Corel Painter
  • Final presentation format: Projection and large print
  • Primary audience: Jury

Project Description

Plaintiff was a twin who presented as a footling breech delivery. Rather than perform a caesarean delivery, the obstetrician, with little experience in high risk footling breech deliveries, elected to attempt a vaginal delivery. Delivery was difficult and a ‘pop’ was heard on delivery. The infant was found to have a significant injury to the cervical spine including several avulsed and ruptured nerve roots and intrathecal and intraspinal hemorrhage.

The purpose of these exhibits is to show the relevant vascular anatomy of the cervicothoracic cord, demonstrate the common delivery techniques incorrectly performed that can injure the spinal cord and nerves, and illustrate the types of nerve root and vascular injuries seen with incorrectly performed delivery methods.