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Intermediate Technical IVT

crowning

The stage during delivery when the fetal head becomes visible at the vulval opening and does not recede between contractions.

Full Definition

Crowning marks a critical phase in the second stage of labor when the largest diameter of the fetal head passes through the vulval opening. At this point, the head remains visible even between contractions, indicating imminent delivery. This stage requires careful management to prevent precipitate delivery and minimize maternal trauma. Healthcare providers must be prepared for immediate delivery once crowning occurs.

Usage

Usage note: Capitalize when referring to the specific stage of delivery in formal documentation.

In Context

  • "The delivery note documented that crowning occurred at 14:32, followed by delivery of the head two minutes later." — Labor and delivery record
  • "Upon crowning, the midwife prepared for controlled delivery of the fetal head to prevent perineal tears." — Clinical procedure note

Also known as

head crowning

Don't confuse with

engagement restitution

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