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Related Experiment Videos

Face presentation: predictors and delivery route.

Brian L Shaffer1, Yvonne W Cheng, Juan E Vargas

  • 1Division of Perinatal Medicine & Genetics, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, CA, USA. shafferb@obgyn.ucsf.edu

American Journal of Obstetrics and Gynecology
|May 2, 2006
PubMed
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Face presentation is linked to prematurity and lower Apgar scores. Cesarean delivery rates were higher in mentum posterior presentations and when oxytocin was not used.

Area of Science:

  • Obstetrics and Gynecology
  • Perinatology
  • Fetal Medicine

Background:

  • Face presentation, a malpresentation during labor, can impact delivery outcomes.
  • Understanding associated factors is crucial for optimizing maternal and fetal well-being.

Purpose of the Study:

  • To identify characteristics associated with face presentation.
  • To examine factors influencing the mode of delivery in cases of face presentation.

Main Methods:

  • Retrospective cohort study of women with diagnosed face presentation during labor.
  • Analysis of maternal, fetal, and labor characteristics.
  • Assessment of predictors for cesarean delivery.

Main Results:

  • Fetuses in face presentation were more likely to be preterm, low birth weight (< 2500 g), and Black.

Related Experiment Videos

  • Lower Apgar scores at 5 minutes were more common in face presentation (10.9%) versus vertex presentation (4.4%).
  • Cesarean delivery was less frequent with oxytocin use and in mentum anterior (14%) compared to mentum posterior (85%) face presentations.

    • Conclusions:

    • Confirms the association between face presentation and prematurity.
    • Suggests potential links between Black ethnicity and pelvic anatomy differences.
    • Face presentation associated with lower Apgar scores, but not other indicators of fetal asphyxia.
    • Higher cesarean delivery rates observed in mentum posterior presentations and without oxytocin.