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

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

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

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

• Obstetric complications
• Pregnancy
• Cesarean section

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