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Related Experiment Videos

Face presentation at term

T J Benedetti, R I Lowensohn, A M Truscott

    Obstetrics and Gynecology
    |February 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Face presentation deliveries are rare, often requiring Cesarean section. Spontaneous vaginal birth success varies by fetal head position, and fetal heart rate monitoring reveals frequent decelerations, impacting Apgar scores, particularly in posterior positions.

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    Area of Science:

    • Obstetrics and Gynecology
    • Perinatology
    • Fetal Medicine

    Background:

    • Face presentation is a rare obstetric complication.
    • Incidence of face presentation is approximately 1 in 1250 deliveries for term infants.
    • Management strategies for face presentation require careful consideration.

    Purpose of the Study:

    • To determine the incidence and outcomes of face presentation in a large cohort.
    • To analyze the success rates of spontaneous vaginal delivery based on fetal head rotation.
    • To evaluate fetal heart rate patterns and Apgar scores in neonates with face presentation.

    Main Methods:

    • Retrospective analysis of 50,300 deliveries between 1973 and 1978.
    • Inclusion criteria: gestational age > 36 weeks, fetal weight > 2500g.

    Related Experiment Videos

  • Review of fetal heart rate (FHR) monitoring and Apgar scores.

    • Main Results:

    • 40 cases of face presentation identified (incidence 1:1250).
    • Cesarean section rate was 50%.
    • Spontaneous vaginal delivery rates: 88% (mentum anterior), 45% (mentum transverse), 25% (mentum posterior).
    • FHR monitoring showed frequent variable (59%) and late decelerations (24%).
    • 1-minute Apgar scores ≤ 6 in 37% and 5-minute Apgar scores < 7 in 13% of live births.
    • Mentum posterior position was associated with lower Apgar scores.

    Conclusions:

    • Face presentation is associated with significant rates of Cesarean section and adverse fetal outcomes.
    • Fetal head rotation is critical for successful vaginal delivery in face presentations.
    • Abnormal FHR patterns and low Apgar scores are common, necessitating close monitoring and management.