Gynaecology & Obstetrics
Labour - normal, abnormal, malposition, malpresentation and their management
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Which of the following is the most appropriate management of a face presentation with no fetal distress and an adequate pelvis, as determined by digital examination?
High-Yield Explanation
If Face presents with mento- anterior , it can deliver vaginally. The diameter of engagement is Sub-mentoveical, 10cms, or sub-mentobregmatic,9.5 cms, both of which suppo a normal vaginal delivery Mento posterior position has no mechanism of labor as the engaging diameter is the sterno bregmatic of 16-18cm because the chest and the head try to pass the brim at the same time It is best to do an elective cesarean section for Mento-posterior