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https://emedicine.medscape.com/article/262444-overview
Jan 24, 2019 · Compound presentations are rare obstetric events and often engender much anxiety in the care team. Such concerns are usually unjustified, but considering the unlikely possibility of a problem delivery is valuable.
https://www.uptodate.com/contents/compound-fetal-presentation
Compound presentation is a fetal presentation in which an extremity presents alongside the part of the fetus closest to the birth canal. The majority of compound presentations consist of a fetal hand or arm presenting with the head . This topic will review the pathogenesis, clinical manifestations, diagnosis, and management of this uncommon intrapartum problem. INCIDENCE. Compound presentation has been reported to complicate from 1 in 250 to 1 in 1500 deliveries …
https://www.obstetricexcellence.com.au/babys-hand-below-head-in-labour/
Compound presentation is reported to occur in 1 in 700 to 1 in 1,000 deliveries. A compound presentation is usually the baby’s hand or arm presenting with the head but the definition includes the presentation of any foetal extremity alongside the presenting part.
https://www.abclawcenters.com/blog/2019/07/26/compound-presentation/
How is compound presentation diagnosed? It’s possible to discover compound presentation on an ultrasound examination before delivery. Right before or during delivery, it may be diagnosed when an irregular form is found next to or in advance of the head or breech during a pelvic exam. The doctor can confirm compound presentation with either physical examination or ultrasound examination.
https://exxcellence.org/list-of-pearls/management-of-brow-face-and-compound-malpresentations/
Aug 01, 2018 · Compound presentations occur when a fetal extremity precedes or is adjacent to the presenting part. This occurs in about 1/1500 deliveries. Most compound presentations are either a hand or arm next to the fetal head.
https://www.abclawcenters.com/practice-areas/prenatal-birth-injuries/abnormal-position-or-presentation/
During labor, compound presentation is identified as an irregular finding during a cervical examination (3). If a mother has polyhydramnios, the risk of compound presentation is higher, as the flow of amniotic fluid when the membranes rupture can sweep extremities into the birth canal, or cause a cord prolapse, which
https://www.mumsnet.com/Talk/childbirth/235100-question-for-midwives-compound-presentations
In my (extremely limited) experience, compound presentations are rarely apparent until the last minute, as baby is actually delivering. I guess I would try to limit damage to the perineum by controlling the delivery and let the perineum stretch as much as possible (but would try and do that anyway ) Might be more hands-on than normal. I don't know about 'holding the hand back', probably wouldn't be possible …
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