_Face presentations._ The face, like the cranium, may present in two ways,
either with its right or left side forwards. The former is the most
frequent occurrence, and bears a striking analogy to the first cranial
position; indeed, we cannot too strongly impress upon the minds of our
readers the advantages of accurately knowing the different features of the
two cranial positions just described; for by this means the positions of
the face will be rendered much more simple and easy of comprehension.
Whether the right or the left side of the face presents (first or second
facial position,) the root of the nose crosses the os uteri exactly in the
same manner as the sagittal suture does in the two cranial positions; the
chin is turned to the right acetabulum, and as the face descends through
the pelvis during the progress of the labour, the chin moves somewhat more
forwards, as the occiput does in the cranial positions.
At an early stage of labour the right eye and zygoma is that part of the
face which is lowest in the pelvis, and which the finger first touches
upon during examination, precisely as it was the right parietal
protuberance in the first cranial position; and as in this case the caput
succedaneum was situated upon the posterior and superior quarter of the
right parietal bone, so here the livid bruise-like swelling, which the
face brings with it into the world, is situated upon the right cheek, this
part being the first which presses through the os externum; the chin
passes under the right branch of the pubic arch, as the occiput in the
first cranial position does under the left, the face during the whole
process preserving a strictly oblique position, both as to the transverse
diameter and axis of the pelvis.[78]
_Second position of the face._ The second position of the face is merely
the reverse of the first: it is now the left side which is turned
forwards, the left eye and zygomatic process being those parts which are
lowest in the pelvis; the chin is turned to the left side and somewhat
forward, and advances towards the left foramen ovale during the farther
progress of the labour. As the face approaches the inferior aperture of
the pelvis, it is the left cheek which first enters the os externum, and
upon which the swelling is situated: likewise the chin passes beneath the
left branch of the pubic arch.
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