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Intrapartum repositioning of brow presentation

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Brow (frontal) malpresentation (BP) occurs when there is incomplete deflexion of the foetal head with an incidence of 0.07%. In BP, the frontal bone, nasal root and brow are palpable,… Click to show full abstract

Brow (frontal) malpresentation (BP) occurs when there is incomplete deflexion of the foetal head with an incidence of 0.07%. In BP, the frontal bone, nasal root and brow are palpable, but the chin and mouth cannot be palpated. Intrapartum management should be expectant with 50% of cases extending to an occiput presentation with successful vaginal delivery. In BP, a manual rotation is possible; a caesarean section is recommended in dystocia and persistent BP (Levy 1976; Verspyck et al. 2012). In our paper, a case series of seven term pregnancies without comorbidities with intrapartum diagnosed BP and bimanual rotation are presented as a non-caesarean intervention.

Keywords: brow presentation; presentation; intrapartum repositioning; brow; repositioning brow

Journal Title: Journal of Obstetrics and Gynaecology
Year Published: 2020

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