Work

Case report: Obstetrical maneuver in a case of persistent mentum posterior face presentation

Year: 2025

Type: article

Abstract: Face presentation during labor is uncommon. While mentum anterior presentation is mechanically compatible with vaginal delivery, persistent mentum posterior presentation typically necessitates cesarean section. We report a case of a fetus in mentum posterior face presentation managed expectantly due to excellent labor progression. At full cervical dilation, an ultrasound-guided digital maneuver successfully converted the presentation to occipito-iliac anterior, enabling vaginal delivery of a healthy 3350 g infant without instrumental assistance. This obstetric technique offers a potential alternative to cesarean section in selected cases of mentum posterior face presentation, and argues for individualized management by an experienced obstetrician and ultrasound guidance.

Source: Journal of Gynecology Obstetrics and Human Reproduction

DOI: 10.1016/j.jogoh.2025.103060

Authors: Sabrina MONTANT, Fanny MOREIRA, Clémentine LANGIN, Pierrick ANDRIEU, Marion ROUZAIRE, Denis GALLOT