MAL-PRESENTATIONS, PUERPERAL CARE
AND
PUERPERAL SEPSIS
By
DOGHUDJE U. FLORENCE
RN, RM, RME, BNSc, MPH IN-VIEW
AT
FCT SCHOOL OF MIDWIFERY, GWAGWALADA
ABUJA
MAY, 2022
, INTRODUCTION
• Any presentation other than the vertex can lead to difficulties in
labor
• These malpresentations may arise by chance or by maternal or fet
pathology
• Leading to increase mortality and morbidity to both mother and
baby
• This contributes to the death of one Nigerian woman every 13
minutes from preventable causes related to pregnancy and child
birth
• Which means 109 women die each day (Nigeria Health Watch, 20
, OBJECTIVES
At the end of this session students will be able to:
• Recognize when a fetus presents abnormally.
• Practice the skills needed to manage them.
• Conduct different forms of deliveries with confidence and
proficiency.
• Manage a woman with puerperal sepsis.
• Reduce the number of maternal deaths from complication
, FACE PRESENTATION
• Presentation refers to the part of the fetal body that leads
the way through the birth canal
• The head (vertex/cephalic) usually leads the way but it cou
sometimes be the buttock, face or shoulders
• If the part of the fetus presenting is abnormal, labor may b
difficult.
• The face presents when the head is one of complete
extension and the occiput in contact with the spine of the
baby.
AND
PUERPERAL SEPSIS
By
DOGHUDJE U. FLORENCE
RN, RM, RME, BNSc, MPH IN-VIEW
AT
FCT SCHOOL OF MIDWIFERY, GWAGWALADA
ABUJA
MAY, 2022
, INTRODUCTION
• Any presentation other than the vertex can lead to difficulties in
labor
• These malpresentations may arise by chance or by maternal or fet
pathology
• Leading to increase mortality and morbidity to both mother and
baby
• This contributes to the death of one Nigerian woman every 13
minutes from preventable causes related to pregnancy and child
birth
• Which means 109 women die each day (Nigeria Health Watch, 20
, OBJECTIVES
At the end of this session students will be able to:
• Recognize when a fetus presents abnormally.
• Practice the skills needed to manage them.
• Conduct different forms of deliveries with confidence and
proficiency.
• Manage a woman with puerperal sepsis.
• Reduce the number of maternal deaths from complication
, FACE PRESENTATION
• Presentation refers to the part of the fetal body that leads
the way through the birth canal
• The head (vertex/cephalic) usually leads the way but it cou
sometimes be the buttock, face or shoulders
• If the part of the fetus presenting is abnormal, labor may b
difficult.
• The face presents when the head is one of complete
extension and the occiput in contact with the spine of the
baby.
