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The aim of this study is to determine the rate of vaginal deliveries in the primigravida with floating head at the onset of labor and early neonatal outcome.This prospective study was conducted on (250) primigravidas in the period (between April 2016 and October 2017) presented to the Obstetric Emergency Unit of Al-Azhar University Hospitals, in active labor with the unengaged fetal head during labor.