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Management of fetal malpresentation.
Rita Sharshiner1, Robert M Silver
1*Department of Obstetrics and Gynecology, Oregon Health and Sciences University, Portland, Oregon †Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, Utah.
Clinical Obstetrics and Gynecology
|March 27, 2015
Summary
Fetal malpresentation, including breech and transverse lie, contributes to high cesarean delivery rates. Management strategies like external cephalic version and vaginal breech delivery can help reduce cesarean births.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- Fetal malpresentation is a significant factor contributing to the global cesarean delivery rate.
- Common malpresentations include breech, face, brow, compound presentations, and transverse lie.
Purpose of the Study:
- To review management options for fetal malpresentation.
- To focus on external cephalic version and vaginal breech delivery as key interventions.
Main Methods:
- Literature review of management strategies for fetal malpresentation.
- Discussion of risk factors, including multiparity, polyhydramnios, and anomalies.
Main Results:
- Appropriate management of fetal malpresentation can potentially decrease the rate of cesarean deliveries.
- External cephalic version and vaginal breech delivery are highlighted as important management techniques.
Conclusions:
- Effective management of fetal malpresentation is crucial for reducing cesarean delivery rates.
- External cephalic version and vaginal breech delivery offer viable alternatives to cesarean birth in select cases.
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