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Fetal Malpresentation and Malposition: Diagnosis and Management

Rachel A Pilliod1, Aaron B Caughey1

  • 1Department of Obstetrics and Gynecology, Oregon Health & Science University, 3181 Southwest Sam Jackson Park Road, Portland, OR 97239, USA.

Obstetrics and Gynecology Clinics of North America
|October 29, 2017
PubMed

Fetal malpresentation and fetal malposition are frequently interchanged; however, fetal malpresentation refers to a fetus with a fetal part other than the head engaging the maternal pelvis. Fetal malposition in labor includes occiput posterior and occiput transverse positions. Both fetal malposition and malpresentation are associated with significant maternal and neonatal morbidity, which have significant impact on patients and providers. Accurate diagnosis of both conditions is necessary for appropriate management. In this review, terminology, incidence, diagnosis, and management are discussed.

Keywords:
Assisted vaginal deliveryFetal malpositionFetal malpresentationManual rotationOcciput posterior

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