Managing Complications in Pregnancy and Childbirth: - IAWG

S-72 Malpositions and malpresentationsFIGURE S-11Occiput anterior positions• An additional feature of a normal presentation is a well-flexedvertex (Fig S-12), with the fetal occiput lower in the vagina thanthe sinciput.FIGURE S-12Well-flexed vertex• If the fetal head is well-flexed with occiput anterior or occiputtransverse (in early labour), proceed with delivery (page C-71).• If the fetal head is not occiput anterior, identify and manage themalposition (Table S-11, page S-72).