title: Prophylactic attempt at manual rotation in brow presentation at full dilatation.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Rouen University Hospital, Rouen, France. eric.verspyck@chu-rouen.fr
authors.forename: Eric
authors.initials: E
authors.lastname: Verspyck
authors.forename: Violene
authors.initials: V
authors.lastname: Bisson
authors.forename: Alexis
authors.initials: A
authors.lastname: Gromez
authors.forename: Benoit
authors.initials: B
authors.lastname: Resch
authors.forename: Alain
authors.initials: A
authors.lastname: Diguet
authors.forename: Loïc
authors.initials: L
authors.lastname: Marpeau
mesh_terms: D000328:Adult; D002585:Cesarean Section; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D007746:Labor Presentation; D007747:Labor Stage, First; D007902:Length of Stay; D011247:Pregnancy; D012189:Retrospective Studies; D014710:Version, Fetal