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Diploma in Kenya Registered Nursing and Midwifery
Face Presentation: Definition, Positions, Causes, Intrapartum Diagnosis and Delivery Management
A midwifery unit on face presentation, defined as the head in complete extension with the occiput against the spine so that the face is what presents, with its incidence and the primary and secondary forms and the sub-mentobregmatic and bitemporal diameters. The six mento-positions, the causes from anterior uterine obliquity and contracted pelvis, the intrapartum diagnosis by vaginal examination and the prolonged labour in a persistent mento-posterior position lead into the effects on mother and baby - the battered face and lid swelling, cerebral haemorrhage and maternal trauma - and the delivery management.
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