II. Definition

  1. Hand prolapses alongside fetal head

III. Epidemiology

  1. Incidence: 0.04 TO 0.14%
  2. More common in prematurity

IV. Signs

  1. Digital cervical exam
    1. Hand palpated beside presenting fetal head

V. Differential Diagnosis

  1. Fetal foot beside head

VI. Management

  1. Expectant management
    1. Vaginal Delivery usually occurs
  2. Consider repositioning if descent arrested
    1. Elevate fetal hand
    2. Bring head downward

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Ontology: Compound presentation (C0426178)

Definition (NCI) A presentation of the fetal hand or arm before the fetal vertex.(NICHD)
Concepts Finding (T033)
SnomedCT 199387000, 14064007, 124736009
English compound presentation of fetus (diagnosis), compound presentation of fetus, compound presentation, compound presentation (physical finding), Compound Fetal Presentation, Compound presentation of fetus (disorder), Compound Presentation, Compound presentation of fetus, Compound presentation, Compound presentation (finding), compound; presentation, presentation; compound
Spanish presentación compuesta del feto (concepto no activo), presentación compuesta del feto, presentación fetal compuesta (hallazgo), presentación fetal compuesta
Dutch ligging; samengesteld, samengesteld; ligging