II. Definitions
- Compound Presentation
- Hand prolapses alongside fetal head
III. Epidemiology
- Incidence: 0.04 TO 0.14%
- More common in prematurity
IV. Signs
- Digital cervical exam
- Hand palpated beside presenting fetal head
V. Differential Diagnosis
- Fetal foot beside head
VI. Management
- Expectant management
- Vaginal Delivery usually occurs
- Consider repositioning if descent arrested
- Elevate fetal hand
- Bring head downward