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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.
Breech presentation with longitudinal lie: [1] Left sacrum anterior (LSA)—the buttocks, as against the occiput of the vertex presentation, like close to the vagina (hence known as breech presentation), which lie anteriorly and towards the left. Right sacrum anterior (RSA)—the buttocks face anteriorly and towards the right.
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]
Shoulder presentations are uncommon (about 0.5% of births) [1] since, usually, toward the end of gestation, either the head or the buttocks start to enter the upper part of the pelvis, anchoring the fetus in a longitudinal lie. It is not known in all cases of shoulder presentation why the longitudinal line is not reached, but possible causes ...
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 .
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. This period is characterized by frequent changes of ...
The latter flexure mainly appears in mammals and sauropsids (reptiles and birds), whereas the other two, and principally the cephalic flexure, appear in all vertebrates (the sum of the cervical and cephalic ventral flexures is the cause of the 90-degree angle mentioned above in humans between body axis and brain axis).
According to Gabbe, "There is no place for internal podalic version and breech extraction in the management of transverse or oblique lie or unstable presentation in singleton pregnancies because of the unacceptably high rate of fetal and maternal complications." Podalic version has a long history spanning back to Hippocrates.