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In obstetrics, a cephalic presentation or head presentation or head-first presentation is a situation at childbirth where the fetus is in a longitudinal lie and the head enters the pelvis first; the most common form of cephalic presentation is the vertex presentation, where the occiput is the leading part (the part that first enters the birth canal). [1]
It is a manual procedure that is recommended by national guidelines for breech presentation of a pregnancy with a single baby, in order to enable vaginal delivery. [2] [3] It is usually performed late in pregnancy, that is, after 36 gestational weeks, [4] preferably 37 weeks, [5] and can even be performed in the early stages of childbirth. [4]
Pregnancy Symptoms Week 36. 36 weeks pregnant pregnancy stage (TODAY Illustration/Getty Images) ... Your body: During these last few weeks, your head-down baby may descend further into your pelvis ...
A breech birth is when a baby is born bottom first instead of head first, as is normal. [1] Around 3–5% of pregnant women at term (37–40 weeks pregnant) have a breech baby. [2] Due to their higher than average rate of possible complications for the baby, breech births are generally considered higher risk. [3]
Presentation of twins in Der Rosengarten ("The Rose Garden"), a German standard medical text for midwives published in 1513. In obstetrics, the presentation of a fetus about to be born specifies which anatomical part of the fetus is leading, that is, is closest to the pelvic inlet of the birth canal.
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The side where there is resistance to the descent of the fingers toward the pubis is greatest is where the brow is located. If the head of the fetus is well-flexed, it should be on the opposite side from the fetal back. If the fetal head is extended though, the occiput is instead felt and is located on the same side as the back.