The forehead presentation, shown in this terracotta model, occurs when the occiput is higher than the chin, making the forehead coincide with the pelvic axis. This is a rare event (1 in 2,500 births). In the past, an attempt would be made to rotate the fetus manually into a breech presentation or face presentation. Today, natural birth with forehead presentation is regarded as impossible and the fetus is delivered by Cesarean section. This teaching model was commissioned by Giuseppe Galletti.