II. Precautions

  1. Avoid Oxytocin in most malpresentations except
    1. Occiput Posterior
    2. Twin Vaginal Delivery
  2. Consider Terbutaline SC before cesarean section
  3. Consider maternal position changes

III. Presentations

  1. Occiput Posterior (10%)
    1. Vaginal Delivery
  2. Face Presentation (<0.2%)
    1. Mentum Anterior or Face Anterior
      1. Vaginal Delivery
    2. Mentum Posterior or Face Posterior
      1. Cesarean section
    3. Brow (0.02%) and not converted to face or occiput
      1. Vaginal Delivery
  3. Compound Presentation (<0.5%)
    1. Vaginal Delivery
  4. Transverse Presentation (0.3%):
    1. Obstetric Ultrasound
    2. Attempt External Cephalic Version
    3. Cesarean Section for failed version
      1. Consider uterine vertical incision

Images: Related links to external sites (from Google)

Ontology: Fetal Malpresentation (C0233256)

Definition (NCI) An abnormal position assumed by the fetus in the birth canal during the childbirth process.
Concepts Pathologic Function (T046)
MSH D007746
SnomedCT 156155001, 156161003, 267328006, 15028002, 80002007, 199342004, 363129008
English Abnormal fetal presentation, NOS, Fetal malpresentation, NOS, Fetal presentation, abnormal, Malpresentation of fetus, NOS, Abnormal foetal presentation, NOS, Foetal malpresentation, NOS, Malpresentation of foetus, NOS, Malpresentation of fetus NOS, malpresentation of fetus (diagnosis), malpresentation of fetus, Malpresentation of fetus NOS (disorder), FETAL PRESENTATION ABNORMAL, Malpresentation of Fetus, Foetal malpresentation, Fetal malpresentation, Malpresentation of fetus, Abnormal fetal presentation (finding), Abnormal fetal presentation, Malpresentation of fetus (disorder), Fetal Malpresentations, Malpresentation, Fetal, Fetal Malpresentation, Disorder of fetal presentation (disorder), Disorder of fetal presentation, Malpresentation of fetus NOS (observable entity)
French Mauvaise présentation foetale, Présentation vicieuse du foetus, Anomalie de présentation du foetus, Présentation anormale du foetus, Présentation foetale anormale, Anomalie de présentation foetale, Présentation dystocique
Italian Malpresentazione fetale
German fetale Fehllage, Anomale Kindslage unter der Geburt
Portuguese Má apresentação fetal, Anomalia da apresentação fetal
Spanish Presentación fetal anómala, presentación anómala de feto, SAI (entidad observable), alteración de la presentación fetal, alteración de la presentación fetal (trastorno), Malpresentation of fetus, presentación fetal defectuosa, malpresentación fetal, presentación fetal anómala, presentación fetal defectuosa (hallazgo), presentación fetal anómala (trastorno), malpresentación del feto, presentación fetal anómala (hallazgo), Malpresentation of fetus NOS, presentación fetal defectuosa (trastorno), presentación anormal del feto, presentación anómala de feto, SAI, presentación fetal anormal, Anomalía de la presentación fetal, presentación anómala de feto, SAI (trastorno)
Japanese 胎位異常, タイイイジョウ
Czech Nepravidelná poloha plodu
Hungarian Magzati malpresentatio, Magzati tartási rendellenesség
Dutch verkeerde ligging van foetus