Ld

Compound Presentation

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Compound Presentation

  • Definitions
  1. Compound Presentation
    1. Hand prolapses alongside fetal head
  • Epidemiology
  1. Incidence: 0.04 TO 0.14%
  2. More common in prematurity
  • Signs
  1. Digital cervical exam
    1. Hand palpated beside presenting fetal head
  • Differential Diagnosis
  1. Fetal foot beside head
  • Management
  1. Expectant management
    1. Vaginal Delivery usually occurs
  2. Consider repositioning if descent arrested
    1. Elevate fetal hand
    2. Bring head downward