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Fetal Position
Purpose
Longitudinal
o long axis of the fetus is alligned to the mothers
o this is the only NORMAL position
Transverse
o long axis of the fetus is perpendicular to that of the
mothers
Oblique
o long axis of the fetus is 0-90 degrees (or 90-180 degrees)
to that of the mothers
Fetal Lie
The presentation is either:
Vertex
o head down in the pelvis
Brow
Facial
Breech
o head is up in the uterine fundus
and the buttocks is down in the
pelvis
Shoulder
Attitude
LOL ROP
ROL LOP
LOA OP
ROA OA
Full/Complete Breech
o arms & legs flexed in the
o fetal position
Incomplete Breech
Frank Breech
o arms flexed but legs
extended straight up over
head
Footling Breech
o one or both feet extended
downward and may exit the
birth canal first
Engagement
Four-part process
Palpation of fetal
position in-utero
Preparation
Woman is supine, head slightly elevated and
knees slightly flexed
1. Locate brow.
2. Assess descent of the presenting part.