Portal de Periódicos da CAPES

Brow presentation

1968; Elsevier BV; Volume: 100; Issue: 2 Linguagem: Inglês

10.1016/s0002-9378(15)33729-7

1097-6868

Ronald M. Meltzer, Marlene R. Sachtleben, Emanuel A. Friedman,

Female Genital Mutilation/Cutting Issues

Pertinent etiologic factors encountered in a series of 156 patients with brow presentation, representing an incidence of 1 in 670 deliveries, include cephalopelvic disproportion and prematurity only. The brow prolongs the deceleration phase and the second stage and exaggerates the deleterious effects that other pertinent factors exert on the course of labor. Dysfunctional patterns, especially secondary arrest of dilatation, are not uncommon, particularly in conjunction with disproportion. A high rate of spontaneous and successful operative conversion to vertex or face is noted. Delivery outcome is clearly related to success or failure of conversion. Maternal morbidity is high, but perinatal mortality is unex pectedly low. A proposed program of management is detailed. Pertinent etiologic factors encountered in a series of 156 patients with brow presentation, representing an incidence of 1 in 670 deliveries, include cephalopelvic disproportion and prematurity only. The brow prolongs the deceleration phase and the second stage and exaggerates the deleterious effects that other pertinent factors exert on the course of labor. Dysfunctional patterns, especially secondary arrest of dilatation, are not uncommon, particularly in conjunction with disproportion. A high rate of spontaneous and successful operative conversion to vertex or face is noted. Delivery outcome is clearly related to success or failure of conversion. Maternal morbidity is high, but perinatal mortality is unex pectedly low. A proposed program of management is detailed.