Molding and asynclitism in this occiput posterior position can easily be recognized Barbera et al. Parsons MT, Spellacy WN: The principle of combining pelvic segments to classify the mixed inlet types. The obstetrician should be aware that a fetus in this particular type of lie is susceptible to a cord accident if the patient is in active labor and her cervix is dilating. The fundus is palpated with the fingertips of both hands facing toward the maternal xiphoid cartilage. It is usually discovered before labour, although one third are not diagnosed until during labour, when vaginal examinations allow a more precise diagnosis to be made, especially as the cervix dilates and allows direct palpation of the presenting part of the fetus. If there is flexion at the hip and extension at the knees, the fetus is a frank breech.
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