Page 229 - Critical Maternity & Newborn Health Nursing

Malpresentations

Malpresentations and malposition appear to be associated with

any factors that prevent the fetus from physically assuming the

cephalic presentation.

Examples of these factors are preterm labor or prematurity, in

which the fetus is so small that is does not well in the pelvis. Large

pelvic capacities, and lax pelvis muscle as seen in multiparous

woman. Other factors associated with malposition or

malpresentation include uterine anomalies, fetal malformations,

pelvic tumors, and placenta obstructing birth canal.

Malposition and malpresentation carry a high incidence of risk to

both mother and fetus.

Types:

1- Occipto-posterior position

2- Face presentation

3- Brow presentation

4- Breech presentation

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