Brow presentation is a rare type of cephalic presentation where the brow is the presenting part, with the head in a position between full flexion and full extension. Brow presentation accounts for about 1 in 1,000 births. The causes are similar to face presentation, and the position is often unstable, converting to vertex or face presentation. Diagnosis can be made through vaginal exam by palpating the supraorbital ridges and fontanel. Delivery is only possible if the baby is small and the pelvis is roomy, through internal rotation and descent until the root of the nose hinges under the pubic symphysis, followed by flexion and extension to deliver the face. There is no mechanism of labor for posterior brow