Conflict of interest The authors have seen and approved the final manuscript and have stated explicitly that there are no conflicts of interest in connection with this article.
SHORT RESEARCH REPORT
Prophylactic attempt at manual rotation in brow presentation at full dilatation
Article first published online: 17 OCT 2012
© 2012 The Authors Acta Obstetricia et Gynecologica Scandinavica© 2012 Nordic Federation of Societies of Obstetrics and Gynecology
Acta Obstetricia et Gynecologica Scandinavica
Volume 91, Issue 11, pages 1342–1345, November 2012
How to Cite
VERSPYCK, E., BISSON, V., GROMEZ, A., RESCH, B., DIGUET, A. and MARPEAU, L. (2012), Prophylactic attempt at manual rotation in brow presentation at full dilatation. Acta Obstetricia et Gynecologica Scandinavica, 91: 1342–1345. doi: 10.1111/j.1600-0412.2012.01515.x
Please cite this article as: Verspyck E, Bisson V, Gromez A, Resch B, Diguet A, Marpeau L. Prophylactic attempt at manual rotation in brow presentation at full dilatation. Acta Obstet Gynecol Scand 2012; 91:1342-1345.
- Issue published online: 1 NOV 2012
- Article first published online: 17 OCT 2012
- Accepted manuscript online: 10 AUG 2012 07:30AM EST
- Received: 16 March 2012 Accepted: 25 July 2012
- Brow presentation;
- manual rotation;
- operative vaginal delivery;
- cesarean section
We report our management of brow presentation at full dilatation by a prophylactic attempt at manual rotation or immediate cesarean delivery, depending on practitioner training. During the study period, 49 women with brow presentation were collected for an overall 30 452 deliveries (1/621) and 22 (44.9%) of them were diagnosed at full dilatation. For the latter, an attempt at manual rotation was performed in 13 cases (59.1%) with no particular maternal or neonatal complications reported and vaginal delivery occurred in 10 (76.9%). Maternal and neonatal outcomes were similar between women with immediate cesarean section or prophylactic manual rotation, except for a shorter duration of hospitalization in the group with attempted manual rotation (p < 0.01). Prophylactic attempted manual rotation in brow presentation diagnosed at full dilatation may be associated with a high rate of vaginal delivery with no specific maternal or neonatal complications.