Instrumental Rotation for Persistent Fetal Occiput Posterior Position: A Way to Decrease Maternal and Neonatal Injury?

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Instrumental Rotation for Persistent Fetal Occiput Posterior Position: A Way to Decrease Maternal and Neonatal Injury?

OBJECTIVE To evaluate immediate perineal and neonatal morbidity associated with instrumental rotations performed with Thierry's spatulas for the management of persistent posterior occiput (OP) positions. METHODS Retrospective study including all persistent occiput posterior positions with vaginal OP delivery, from August 2006 to September 2007. Occiput anterior deliveries following successful...

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Is maternal posturing during labor efficient in preventing persistent occiput posterior position? A randomized controlled trial.

OBJECTIVE We sought to evaluate the efficacy of maternal posturing during labor on the prevention of persistent occiput posterior (OP) position. STUDY DESIGN We conducted a randomized trial including 220 patients in labor with a single fetus in documented OP position. Main outcome was the proportion of anterior rotation from OP position. RESULTS The rates of anterior rotation were, respecti...

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Maternal positioning to correct occiput posterior fetal position during the first stage of labour: a randomised controlled trial

OBJECTIVE To evaluate the efficacy of the hands and knees position during the first stage of labour to facilitate the rotation of the fetal head to the occiput anterior position. DESIGN Randomised controlled trial. SETTING Geneva University Hospitals, Switzerland. POPULATION A total of 439 women with a fetus in the occiput posterior position during the first stage of labour. METHODS The...

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Persistent Occiput Posterior position - OUTcomes following manual rotation (POP-OUT): study protocol for a randomised controlled trial

BACKGROUND Occiput posterior position is the most common malpresentation in labour, contributes to about 18% of emergency caesarean sections and is associated with a high risk of assisted delivery. Caesarean section is now a major contributing factor to maternal mortality and morbidity following childbirth in developed countries. Obstetric intervention by forceps and ventouse delivery is associ...

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The association between persistent fetal occiput posterior position and perinatal outcomes: an example of propensity score and covariate distance matching.

In a retrospective cohort study of 18,880 full-term, cephalic singletons born in San Francisco, California, during 1976-2001, the authors used multivariable logistic regression (MVLR) and propensity score analysis (PSA) to examine the association between persistent fetal occiput posterior (OP) position and perinatal outcomes. The principles and applications of these techniques are compared and ...

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ژورنال

عنوان ژورنال: PLoS ONE

سال: 2013

ISSN: 1932-6203

DOI: 10.1371/journal.pone.0078124