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Published on: March 1, 2015
Case report: Obstetrical maneuver in a case of persistent mentum posterior face presentation
Sabrina Montant1, Fanny Moreira1, Clémentine Langin1
1Service d'Obstétrique, CIC 1405 CRECHE Unit, INSERM, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.
None:
Face presentation during labor is uncommon. While mentum anterior presentation is mechanically compatible with vaginal delivery, persistent mentum posterior presentation typically necessitates cesarean section. We report a case of a fetus in mentum posterior face presentation managed expectantly due to excellent labor progression. At full cervical dilation, an ultrasound-guided digital maneuver successfully converted the presentation to occipito-iliac anterior, enabling vaginal delivery of a healthy 3350 g infant without instrumental assistance. This obstetric technique offers a potential alternative to cesarean section in selected cases of mentum posterior face presentation, and argues for individualized management by an experienced obstetrician and ultrasound guidance.
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