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Background
Brow presentation is the least common of all fetal presentations. Early in labor, a brow
presentation may be encountered, but this is often unstable, and it converts to a
vertex presentation. Occasionally, extension may result in a face presentation. The
causes of a persistent brow presentation are generally similar to those causing a
face presentation. These include cephalopelvic disproportion or pelvic contracture
and increasing parity and prematurity, which are implicated in more than 60% of
cases of persistent brow presentation. Premature rupture of membranes preceded
brow presentation in as many as 27% of cases.
Definition
cases of a large pelvis and/or a small infant. At any time during labor, a brow presentation
may convert to a face or vertex presentation.