Thursday, 4 August 2016

Face Presentation During Labour

Face presentation occurs in 1 of every 600-800 live births.

Causative factors associated with a face presentation are similar to those leading to general malpresentation and those that prevent head flexion or favour extension.

Possible aetiology includes:
  • Multiple gestations
  • Grand multiparity- Multiparity or a large abdomen can cause decreased uterine tone, leading to natural extension of the fetal head. 
  • Foetal malformations such as hydrocephalus, anencephaly, and neck masses
  • Prematurity
  • Cephalopelvic disproportion from either a small pelvis or a large foetus.
As long as maternal or foetal compromise is not evident, labour with a face presentation may continue. However, a persistent mentum posterior presentation is an indication for delivery by caesarean section.

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