Page 243 - Critical Maternity & Newborn Health Nursing

of the diameters of the pelvic inlet. The head is arrested, and the

delivery become obstructed.

Management

If brow is detected in the first stage of labor, we wait for
spontaneous conversion into face or vertex, and keep the mother and

the fetus under observation. If detected in late first stage or in the
second stage it is treated by cesarean section if the fetus died

craniotomy done

Breech Presentation

Definition: it is a longitudinal lie in which the buttocks with or

without the lower limbs present

Incidence: 3.5% of deliveries. The incidence is higher in the

premature but spontaneous cephalic version occurs in many of

them.

Types:

1. Complete breech: (more common in multipara)

The feet present beside the buttocks as both hips and knees are flexed
( all joints are flexed)

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