Document Detail

What do you do when the baby is winking at you? Case report of a face presentation.
MedLine Citation:
PMID:  12484670     Owner:  NLM     Status:  MEDLINE    
Face presentation is an uncommon presentation at birth. The identification of a fetus with a hyperextended neck on ultrasound antenatally warrants close scrutiny for other anomalies. A fetus who presents as a face presentation in labor that is of average estimated fetal weight and has no anomalies in a woman with an adequate pelvis is likely to deliver vaginally if the mentum rotates to anterior prior to birth. Persistent mentum posteriors are best left alone without manual intervention and delivered by cesarean section. Prolonged labor is common. The clinician must be patient and closely monitor descent and rotation. Infants born as face presentations should be assessed closely after birth for normal respiratory transition and the presence of significant pain warranting analgesics.
Mary K Barger
Publication Detail:
Type:  Case Reports; Clinical Conference; Journal Article    
Journal Detail:
Title:  Journal of midwifery & women's health     Volume:  47     ISSN:  1526-9523     ISO Abbreviation:  J Midwifery Womens Health     Publication Date:    2002 Nov-Dec
Date Detail:
Created Date:  2002-12-17     Completed Date:  2003-01-09     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  100909407     Medline TA:  J Midwifery Womens Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  487-9     Citation Subset:  IM; N    
Boston University School of Public Health Nurse-Midwifery Education Program, Boston, MA 02118, USA.
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MeSH Terms
Delivery, Obstetric / methods*
Edema / etiology
Infant, Newborn
Labor Presentation*
Midwifery / methods
Obstetric Labor Complications / etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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