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Brow Presentation. Epidemiology. Incidence : 0.02% of singleton deliveries. Brow is an area between the orbital ridges and anterior fontanelle. Results when head is halfway between flexion & extension. Diagnosis. Never made during pregnancy In labour High head

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Epidemiology
Epidemiology

Incidence: 0.02% of singleton deliveries


  • Results when head is halfway between flexion & extension


Diagnosis
Diagnosis fontanelle

Never made during pregnancy

In labour

  • High head

  • Frontal suture &anterior fontanelle on one side and orbital ridges on other side


Pathophysiology
Pathophysiology fontanelle

  • Results in largest head diameter: Occipitomental (mentovertical )13.5cms


Management
Management fontanelle

  • Ceserean section required in most cases

  • Brow presentation rarely can deliver vaginally unless:

    • Spontaneously converts to vertex or Face Presentation

    • Fetus is very small or pelvis is very large



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