Maternal positioning to correct occipito-posterior fetal position in labour: a randomised controlled trial.

ABSTRACT:

Background

The occipito-posterior (OP) fetal head position during the first stage of labour occurs in 10-34% of cephalic presentations. Most will spontaneous rotate in anterior position before delivery, but 5-8% of all births will persist in OP position for the third stage of labour. Previous observations have shown that this can lead to an increase of complications, such as an abnormally long labour, maternal and fetal exhaustion, instrumental delivery, severe perineal tears, and emergency caesarean section. Usual care in the case of diagnosis of OP position is an expectant management. However, maternal postural techniques have been reported to promote the anterior position of the fetal head for delivery. A Cochrane review reported that these maternal positions are well accepted b

SUBMITTER: Guittier MJ 

PROVIDER: S-EPMC3942064 | biostudies-literature | 2014 Feb

REPOSITORIES: biostudies-literature