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Fetal Malpresentation
Aka: Fetal Malpresentation
- See Also
- Fetal Presentation
- Fetal Lie
- Fetal Position
- Twin Gestation
- Occiput Posterior
- Breech Presentation
- Face Presentation
- Brow Presentation
- Precautions
- Avoid Oxytocin in most malpresentations except
- Occiput Posterior
- Twin Vaginal Delivery
- Consider Terbutaline SC before Cesarean Section
- Consider maternal position changes
- Presentations
- Occiput Posterior (10%)
- Vaginal Delivery
- Face Presentation (<0.2% or 1 in 550 live births; full extension of fetal head, occiput against upper back)
- Mentum Anterior or Face Anterior
- Vaginal Delivery
- Mentum Posterior or Face Posterior
- Cesarean Section
- Brow (0.02%) and not converted to face or occiput
- Vaginal Delivery
- Compound Presentation (<0.5%)
- Vaginal Delivery
- Transverse Presentation (0.3%):
- Obstetric Ultrasound
- Attempt External Cephalic Version
- Cesarean Section for failed version
- Consider uterine vertical incision