II. Definitions

  1. Compound Presentation
    1. Hand prolapses alongside fetal head

III. Epidemiology

  1. Incidence: 0.04 TO 0.14%
  2. More common in prematurity

IV. Signs

  1. Digital cervical exam
    1. Hand palpated beside presenting fetal head

V. Differential Diagnosis

  1. Fetal foot beside head

VI. Management

  1. Expectant management
    1. Vaginal Delivery usually occurs
  2. Consider repositioning if descent arrested
    1. Elevate fetal hand
    2. Bring head downward

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