Malpresentation
Malpresentation refers to the position of the fetus in the uterus that is not ideal for vaginal delivery. It is a common complication of pregnancy and can lead to various obstetric complications such as cesarean section, obstetric fistula, and maternal mortality.
Types of Malpresentation[edit | edit source]
There are several types of malpresentation, including:
- Breech presentation: This is when the fetus is positioned feet or buttocks first. It is the most common type of malpresentation.
- Transverse lie: This is when the fetus is positioned horizontally in the uterus. It is a rare type of malpresentation.
- Face presentation: This is when the fetus is positioned with its face down. It is a rare type of malpresentation.
- Brow presentation: This is when the fetus is positioned with its forehead first. It is a very rare type of malpresentation.
Causes of Malpresentation[edit | edit source]
The causes of malpresentation are not fully understood, but several factors have been associated with it, including:
- Multiple pregnancy: Having more than one fetus in the uterus increases the risk of malpresentation.
- Polyhydramnios: This is a condition in which there is too much amniotic fluid in the uterus.
- Placenta previa: This is a condition in which the placenta covers the cervix.
- Uterine abnormalities: Abnormalities in the shape or size of the uterus can lead to malpresentation.
Management of Malpresentation[edit | edit source]
The management of malpresentation depends on the type of malpresentation and the stage of pregnancy. It may include:
- External cephalic version: This is a procedure in which the doctor tries to turn the fetus into a head-down position.
- Cesarean section: If the fetus cannot be turned or if there are other complications, a cesarean section may be necessary.
See Also[edit | edit source]
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Contributors: Prab R. Tumpati, MD