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September 1968

Respiratory Obstruction Associated With Face Presentation

Author Affiliations

From the departments of pediatrics (Drs. Lansford and Arias) and anesthesiology (Dr. Smith), University of Miami School of Medicine and Jackson Memorial Hospital, Miami.

Am J Dis Child. 1968;116(3):318-319. doi:10.1001/archpedi.1968.02100020320016

VARIOUS degrees of skull molding, facial edema, and bruising are complications of the normal process of labor. The majority of infants so affected have only temporary, and certainly no life-endangering, effects. Occasionally more severe injuries to the newborn are related to abnormalities in position or presentation of the fetus. The purpose of this communication is to describe what we believe to be the first reported case of fetal laryngeal-tracheal trauma secondary to a persistence of mentoposterior position.

Report of a Case  A 2,651 gm (5 lb 13½ oz) white girl was born by Cesarean section to a 23-year-old primigravida after an uneventful pregnancy. Indication for Cesarean section was persistent left mentoposterior presentation with arrested progress after 24 hours of labor and ruptured amniotic membranes for 27 hours.At delivery, the baby had good muscle tone and was making strong respiratory efforts which caused marked sternal retraction. By 1 minute of

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