ABSTRACT
This represents one of the most difficult obstetric problems to manage, with hazards to the mother and fetus whatever is done. If conservative management is used, there is a risk to both from ascending infection, with fetal pneumonia in utero and septicaemia in the mother. If the pregnancy is prolonged for a considerable time, then the fetus will suffer from a lack of space in the amniotic cavity, with limb deformities and hypoplastic lungs. Alternatively, if delivery is expedited by induction of labour or caesarean section, the baby will be born with immature lungs and brain, and may suffer from breathing problems (respiratory distress syndrome (RDS)) and potential brain damage.
