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Lecture-12 Face Presentation

This document discusses face presentation during labor and delivery. It provides diagrams of the abnormal position of the fetal head during engagement and internal rotation. It outlines the potential causes of face presentation including fetal anomalies and maternal factors. The document describes the mechanism of labor in face presentation, including the sequence of delivery of the fetal head. It provides steps for diagnosis including obstetric grips and ultrasound. Key differences between diagnosing face and breech presentations are highlighted. Potential risks to both the mother and neonate from face presentation are also summarized.

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Madhu Sudhan Pandeya
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421 views9 pages

Lecture-12 Face Presentation

This document discusses face presentation during labor and delivery. It provides diagrams of the abnormal position of the fetal head during engagement and internal rotation. It outlines the potential causes of face presentation including fetal anomalies and maternal factors. The document describes the mechanism of labor in face presentation, including the sequence of delivery of the fetal head. It provides steps for diagnosis including obstetric grips and ultrasound. Key differences between diagnosing face and breech presentations are highlighted. Potential risks to both the mother and neonate from face presentation are also summarized.

Uploaded by

Madhu Sudhan Pandeya
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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Face presentation

Prepared by:
Dr. Gehanath Baral
MBBS,DGO,MD
Senior Consultant Gynecologist & Obstetrician: Government of
Nepal
Visiting Professor: CTGU
27th March,2007

1
Abd. & P/V picture:

2
Cause
Maternal Fetal
1. Anencephaly
1. Multiparity 2. Congenital goitre
3. Branchial cyst
2. Contracted pelvis 4. Cord round the neck
5. Fetal dystonia
6. Increase AP
diameter of head

3
Mechanism of labor
1. Engagement Submentobregmatic

2. Int.rotation

3. Head delivery (in the order of-)

Chin Face Brow Vertex Occiput

4
Engagement
Submentobregmatic

5
Dx steps:

Obstetric grips

USG

P/V exam

6
Dx: P/V exam
Face Breech
1. Mouth & Malar 1. Anus & Buttock make a
eminences make a straight line
triangle

2. Hard alveolar margin 2. Soft margin

3. Sucking effect 3. No sucking effect

4. No meconeum 4. Meconeum present

7
Risk 1

• Face not tightly fit to lower segment


1. PROM
2. Cord prolapse

• Delay in labor
1. No moulding of face
2. Delayed engagement and Int.rotation
8
Risk 2

• Perineal tear

• PPH

• Neonatal risk
1. Cerebral congestion,
2. Laryngeal edema,
3. Neonatal infection from vagina

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