Page 240 - Critical Maternity & Newborn Health Nursing

Management: During the first stage of labor:

Exclude congenital anomalies and contracted pelvis.

- The rest of management as occiptoposterior

position

1- During the second stage of labor: Vaginal examination is done

after the rupture of the membranes to estimate the degree of cervical

dilatation.

• In mento-anterior position: Spontaneous delivery is allowed. If

the second stage is prolonged or distress in maternal or fetal, the

forceps is applied if the head is engaged, and cesarean section is

done if the head is not engaged.

• In mento-posterior: we give the chin chance to rotate forward

1.The chin rotates 3/8 of circle Delivered as mento-anterior

2.The chain fails to rotate Cesarean section

C) Third stage of labor: The same as occiptoposterior

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