GynaePulse
Fetal position & pelvisFree in the app

Face, brow & abnormal lie

Deflexed presentations and what they mean for birth.

Source: StatPearls · GLOWM

Presentation

Face1 in 600–800. Mentum anterior: usually delivers vaginally. Persistent mentum posterior: cannot — caesarean.
BrowMentovertical 13–13.5 cm can’t engage; may convert to face/vertex; persistent = caesarean.
CompoundHand beside head (~1 in 1500); often resolves.
Transverse lie~1 in 833 at birth — caesarean if persists in labour.
Unstable lieLie keeps changing after 37 weeks — admit near term, cord prolapse risk.
Face presentation: no fetal scalp electrode (eyes).
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.