Malpresentation

Joseph G. Ouzounian, Shivani R. Patel

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

In early pregnancy fetuses have a variable lie within the uterus. As the pregnancy approaches the latter part of the third trimester, the majority of singleton pregnancies have a longitudinal lie and the fetus enters the pelvis with a cephalic presentation. Transverse lie, compound presentation, face presentation, and brow presentation together account for less than 1% of fetal positions at term. Such noncephalic presentations are referred to as malpresentation. Malpresentation can recur in subsequent pregnancies. This chapter explores what percentage (diagnostic test characteristics) are associated with known risk factors of breech presentation. It examines the effectiveness of cesarean delivery in improving maternal and fetal outcomes compared to planned breech vaginal delivery. The chapter provides information on the risks of undergoing external cephalic version (ECV) compared to not undergoing ECV, and the maternal and fetal characteristics that predict a successful ECV.

Original languageEnglish (US)
Title of host publicationEvidence-based Obstetrics and Gynecology
Publisherwiley
Pages521-524
Number of pages4
ISBN (Electronic)9781119072980
ISBN (Print)9781119072959; 9781119072928; 9781444334333
DOIs
StatePublished - 2018
Externally publishedYes

Keywords

  • Breech vaginal delivery
  • Brow presentation
  • Cesarean delivery
  • Compound presentation
  • Early pregnancy fetuses
  • External cephalic version
  • Face presentation
  • Malpresentation
  • Transverse lie

ASJC Scopus subject areas

  • Medicine(all)

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