|
The purpose of the present study is to analyze the face presentations whing occured during the preiod from jan. 1970 through Dec. 1974 at the Catholic Medical College, Dept. of obstetricw and Gynecology and to Discuss the various aspects and difficulties encountered in their management. Thin paper analyzen 72 face presentations in singleton which occured in 41272 deliveries and the results were obtained as follows; 1) the incicence of face presentation was 0.17 per cent (1:573.2) 2) the incidence based on the parity was 0.16 per cent in primigravida and 0.48 percent in grandmultipara (over para V). Age distribution was concentrated on thirty degree and the youngest was 21 years old and the oldest was 48 years old. 3) As to the gestational weeks and fetal body weight, 55.56 per cent was 37 weeks to 40 weeks and 84.72 per cent was 2500gm to 4000gm in body weight. 4) Contracter pelbis, grandmultipara, premature rupture of membrane, excssivesized infants, amall baby, and anencephaly were significant etiologic factors, but 29.17 per cent of face presentations was not known the exact etiological factors. 5) Regarding to the position of the fetal mentum, 54.17 per cent was mentum anterior, 31.94 per cent was mentum posterior and 13.89 per cent was mentum transverse. 60 the method of deliveries were spontaneous delivery (48.61%), cesarean section (43.06%) and forcep delivery (8.33%). the rate of cesarean section was high in primigravida and mentum posterior of fetal position. On the other hand, the method of vaginal delivery was high in multipara and mentum anterior position. 7) As to the duration of labor, 56.10 per cent of all cases was completed within 12 hours in first stage and 7.32 pre cent was over 2 horus in second stage of labor. 8) there was no maternal death and the corrected perinatal mortality rate was 2.78 per cent. 9) Antental care did not help the preventio of the face presentation.
|