Face presentation: predictors and delivery route

American Journal of Obstetrics and Gynecology
Brian L ShafferAaron B Caughey

Abstract

We sought to identify associated characteristics of face presentation and to examine factors that were associated with mode of delivery in the setting of face presentation. This was a retrospective cohort study of women who were diagnosed with face presentation during labor. We examined maternal, fetal, and labor characteristics to determine the associations and predictors of cesarean delivery. Fetuses in face presentation were more likely preterm, < 2500 g, and black. An Apgar score of < 7 at 5 minutes was more common in face presentation (10.9%) compared with vertex presentation (4.4%; P = .018). Rates of umbilical artery base excess < -12 or pH < 7.0 were not different. Cesarean delivery was less common in women who received oxytocin (adjusted odds ratio, 0.18; 95% CI, 0.03-0.95) and in women with mentum anterior (14%) as compared with mentum posterior presentation (85%; P < .001). This study confirms the association between face presentation and prematurity. The association with black ethnicity may be related to differences in pelvic anatomy. Although face presentation was associated with decreased Apgar scores, no other indicators of fetal asphyxia were identified. Cesarean delivery rates were higher in women with mentum p...Continue Reading

References

May 10, 2003·Obstetrics and Gynecology·Susan E PonkeyEllice Lieberman

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Citations

Feb 20, 2008·Archives of Gynecology and Obstetrics·F ZayedI Lataifeh
Oct 1, 2011·The Journal of Obstetrics and Gynaecology Research·Wai-lam LauWing-cheong Leung
Jun 4, 2014·The Journal of Obstetrics and Gynaecology Research·Omer L TapisizNuri Danışman
Jan 21, 2015·Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences·Wenda Trevathan
Dec 30, 2015·Archives of Gynecology and Obstetrics·Emmanuelle ArseneDamien Subtil
Jul 16, 2019·Archives of Gynecology and Obstetrics·Emmanuelle ArsèneD Subtil
Jul 25, 2021·American Journal of Obstetrics & Gynecology MFM·Alexis C Gimovsky

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