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Brow Presentation PowerPoint PPT Presentation


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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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Brow Presentation

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Brow presentation

Brow Presentation


Epidemiology

Epidemiology

Incidence: 0.02% of singleton deliveries


Brow presentation

  • Brow is an area between the orbital ridges and anterior fontanelle

  • Results when head is halfway between flexion & extension


Diagnosis

Diagnosis

Never made during pregnancy

In labour

  • High head

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


Pathophysiology

Pathophysiology

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


Management

Management

  • 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


Brow presentation

  • Do not attempt to convert brow presentation to vertex

  • Never apply vacuum extractor to brow presentation

  • Do not apply internal scalp electrodes

  • Avoid Oxytocin


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