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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]
Cephalic presentation. Vertex presentation with longitudinal lie: [1] Left occipitoanterior (LOA)—the occiput is close to the vagina (hence known as vertex presentation), facing anteriorly (forward with mother standing) and toward the left. This is the most common position and lie.
External cephalic version (ECV) is a process by which a breech baby can sometimes be turned from buttocks or foot first to head first. 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 .
The woman should lie on her back with her shoulders raised slightly on a pillow and her knees drawn up a little. Her abdomen should be uncovered, and most women appreciate it if the individual performing the maneuver warms their hands prior to palpation.
With regard to the fetal presentation during pregnancy, three periods have been distinguished. [5]During the first period, which lasts until the 24th gestational week, the incidence of a longitudinal lie increases, with equal proportions of breech or cephalic presentations from this lie.
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This is the most common position and lie. Right occipitoanterior: ROA occiput faces anteriorly and towards right. Less common than LOA, but not associated with labor complications. Left occipitoposterior: occiput faces posteriorly (behind) and towards left. Right occipitoposterior: ROP occiput faces posteriorly and towards right. Occipitoanterior