21/08/2026
Today, an unbooked client presented to us in full cervical dilatation with the baby’s head already visible. On examination, the baby was found to be in face presentation.
As the patient was fully dilated and it was not practically possible to transfer her to another facility at that stage, the situation, possible risks, and complications were explained to the family. With the family’s informed consent, the delivery was conducted.
Face presentation can make vaginal delivery difficult and may be associated with complications such as prolonged labour, obstructed labour, fetal distress, cord compression/prolapse, facial swelling and bruising, birth trauma, and in some cases, the need for operative delivery or Caesarean section.
Alhamdulillah, both mother and baby are stable following the delivery. The facial swelling and bruising that may occur with face presentation usually improve gradually after birth with appropriate observation and care.
Important Message:
During routine antenatal check-ups and ultrasound examinations, the baby’s presentation and position should be assessed regularly. Early identification of an abnormal presentation allows timely planning of delivery and can help reduce risks to both the mother and baby.
Face presentation should never be taken lightly. Early detection, proper assessment, and appropriate management are essential for the safety of both mother and baby.