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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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Presentation Transcript
epidemiology
Epidemiology

Incidence: 0.02% of singleton deliveries

slide3
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
slide9
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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