October 1980

'Breech Head' With Brow Presentation

Author Affiliations

Division of Medical Genetics Harbor-UCLA Medical Center 1000 W Carson St Torrance, CA 90509

Am J Dis Child. 1980;134(10):994. doi:10.1001/archpedi.1980.02130220070023

Recently, Haberkern et al1 described a group of newborns with scaphocephaly and occipital shelving that were sufficiently disfiguring to generate parental and physician concern. On the basis of a consistent association with breech positioning in utero in their series, they designated this the "breech head" and attributed it to a postural deformation related to this position or to sharing a common etiology.1 We describe here an infant born with a classic breech head who was born in brow presentation.

Report of a Case.—A full-term, 3,347-g female infant was born to a 27-year-old primigravida. The pregnancy had been uncomplicated except for conversion of tuberculin in the second month, with a normal chest roentgenogram. Isoniazid therapy had been started in the seventh month. At no time had there been evidence of oligohydramnios. Labor had begun spontaneously and had been prolonged (26.5 hours). Delivery was difficult due to a brow