Obstructed labour due to brow presentation - what does this mean
Obstructed labour due to brow presentation occurs when the baby is in a head-down position, but the chin is pressed against the mother's pubic bone, making it impossible for the baby to pass through the birth canal. this can be caused by an abnormally large baby, a small pelvis, or a uterus that is not positioned correctly.
What happens during the disease - obstructed labour due to brow presentation
Obstructed labour due to brow presentation occurs when the baby's head is not in the correct position for delivery, and the baby's brow is facing the mother's pubic bone instead of the baby's head being in the normal vertex position. this can cause the baby's head to get stuck in the birth canal, leading to prolonged labour, and in some cases, fetal distress. in severe cases, the baby may need to be delivered by caesarean section.
Treatment and Medical Assistance
Main goal of the treatment: To alleviate the obstruction of labour due to brow presentation.
- Monitor the mother's vital signs.
- Administer medications to reduce pain and relax the uterus.
- Perform an episiotomy to increase the size of the birth canal.
- Perform manual rotation of the fetus to turn the head into an anterior position.
- Perform an assisted delivery using forceps or vacuum extraction.
- Perform a cesarean delivery if necessary.
6 Days of Hospitalization Required
Average Time for Outpatient Care Not Established
Obstructed labour due to brow presentation - Prevention
Obstructed labour due to brow presentation can be prevented by performing an ultrasound early in the pregnancy to detect the position of the baby and providing early and appropriate antenatal care to ensure that the baby is in the correct position for delivery. additionally, providing education to pregnant women about the importance of regular antenatal care and the risks associated with brow presentation can help to reduce the risk of obstructed labour.