Management of fetal malpresentation

Clin Obstet Gynecol. 2015 Jun;58(2):246-55. doi: 10.1097/GRF.0000000000000103.

Abstract

Fetal malpresentation is an important cause of the high cesarean delivery rate in the United States and around the world. This includes breech, face, brow, and compound presentations as well as transverse lie. Risk factors include multiparity, previously affected pregnancy, polyhydramnios, and fetal and uterine anomalies. Appropriate management can reduce the need for cesarean delivery in some cases. This review discusses management options and focuses specifically on external cephalic version and vaginal breech delivery.

Publication types

  • Review

MeSH terms

  • Analgesia, Epidural* / adverse effects
  • Analgesia, Epidural* / methods
  • Cesarean Section* / adverse effects
  • Cesarean Section* / methods
  • Female
  • Humans
  • Labor Presentation*
  • Musculoskeletal Manipulations* / adverse effects
  • Musculoskeletal Manipulations* / methods
  • Obstetric Labor Complications* / diagnosis
  • Obstetric Labor Complications* / etiology
  • Obstetric Labor Complications* / therapy
  • Pregnancy
  • Risk Adjustment
  • Risk Factors