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Case 50 - A 25-Year-Old at 39 Weeks’ Gestation with Brow Presentation at 9 cm Dilation
from Section 6 - Intrapartum/Delivery
- By Jordan Hylton
Edited by Peter F. Schnatz, The Reading Hospital, Pennsylvania, D. Yvette LaCoursiere, University of California, San Diego, Christopher M. Morosky, University of Connecticut School of Medicine, Jonathan Schaffir, The Ohio State University College of Medicine, Vanessa Torbenson, Mayo Clinic Alix School of Medicine, David Chelmow, Virginia Commonwealth School of Medicine
Book:

Pregnancy Complications

Published online:

08 April 2025

Print publication:

01 May 2025, pp 152-153
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Summary

Although rare, nonvertex cephalic presentations can present to labor and delivery at any gestation. It is important to be able to describe and understand the mechanics as well as risks to these malpresentations in order to be able to counsel patients and decrease maternal and neonatal complications. There are significant differences in the fetal skull diameters and with persistent brow presentation there is a risk of fetal trauma or hypoxic injury. Persistent mentum posterior and brow presentations require cesarean delivery. Informed consent should be obtained, and parents should be aware of the risks of fetal compromise based on malpresentation. Given the natural mechanics of labor, some patients remain great candidates for vaginal birth. However, in certain scenarios, patients will warrant surgical intervention with cesarean delivery.

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Case 50 - A 25-Year-Old at 39 Weeks’ Gestation with Brow Presentation at 9 cm Dilation

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Case 50 - A 25-Year-Old at 39 Weeks’ Gestation with Brow Presentation at 9 cm Dilation

Summary