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Fetal cystic hygroma is a rare developmental congenital anomaly of the lymphatic system, characterized by the formation of a multilocular, variably sized cystic mass. The incidence of cystic hygroma is estimated to be 1:6,000 pregnancies, but it is a relatively common anomaly in miscarried fetuses, with a frequency of 1:875 [1]. Among the cystic hygroma, the septate cystic hygroma carry poor perinatal outcome and management difficulties after birth; hence, the mode of delivery of cystic hygroma babies needs special concern. There are four major concerns in such patients:   What should be the antenatal management protocol?   How should the delivery of the baby be planned, i.e. vaginal or cesarean?   What should be the intrapartum management of the baby in case there is mass compression over the cervical structures like trachea?   What should be the treatment for the baby once the delivery is completed?We, hereby, report a case of large cervico-facial cystic hygroma, although planned for cesarean but delivered vaginally without any intrapartum intervention.

Can Large Fetal Cystic Hygromas Be Delivered Vaginally?