Fetal Presentation, Attitude, Lie & Position Station: Mr. Donato A. Mirador

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FETAL PRESENTATION,

ATTITUDE, LIE & POSITION


STATION

MR. DONATO A. MIRADOR


PRESENTATION
 part of fetus that presents to (enters) maternal pelvic inlet
 Cephalic/vertex – head presentation (>95% of labors)
 Breech
 Breech presentation
Complete – flexion of hips and knees
Frank (most common) – flexion of hips and extension of knees
Footling/incomplete – extension of hips and knees
ATTITUDE/ HABITUS
relationship of fetal parts to each other; usually flexion of head and extremities on
chest and abdomen to accommodate to shape of uterine cavity
Vertex – head is maximally flexed
Military – head is partially flexed
Brow – head is maximally extended
Face – head is partially extended
LIE
Lie – relationship of spine of fetus to spine of mother;
longitudinal (parallel)
transverse (right angles)
oblique (slight angle off a true transverse lie)
POSITION
relationship of fetal reference point to mother’s pelvis

Fetal reference point


Vertex presentation – dependent upon degree of flexion of fetal head on chest; full
flexion–occiput (O); full extension–chin (M); moderate extension–brow (B)
Breech presentation – sacrum (S) / Sa
Shoulder presentation – scapula (SC) / A (acromion)
POSITION
 Relation of the presenting part to a specific quadrant of a woman’s pelvis

Right anterior
Left anterior
Right posterior
Left posterior

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