Am J Obstet Gynecol 2021 May 22. Epub 2021 May 22.
Department of Obstetrics and Gynecology, Nord Hospital, APHM, chemin des Bourrely, 13015 Marseille, France; EA3279, CEReSS, Health Service Research and Quality of Life Center, Aix-Marseille University, 13284 Marseille, France; Department of Obstetrics and Gynecology, Saint Joseph Hospital, 26 Bd de Louvain, 13008 Marseille, France.
Background: Persistent occiput posterior and occiput transverse positions are the commonest malpositions of the fetal head during labor and are associated with prolonged second stage of labor, cesarean sections, instrumental deliveries, severe perineal tears, postpartum hemorrhage and chorioamnionitis. Manual rotation is one of several strategies described to deal with these malpositions.
Objective: The purpose of this study was to determine if the trial of prophylactic manual rotation at the early second stage of labor is associated with a decrease of operative deliveries (instrumental and/or cesarean deliveries). Read More