en
Scientific article
Open access
English

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

Published inBMC pregnancy and childbirth, vol. 14, 83
Publication date2014
Abstract

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 by women and reduce back pain. However, the low sample size of included studies did not allow concluding on their efficacy on delivery outcomes, particularly those related to persistent OP position. Our objective is to evaluate the efficacy of maternal position in the management of OP position during the first stage of labour.

Keywords
  • Female
  • Head/embryology/ultrasonography
  • Humans
  • Infant, Newborn
  • Labor Presentation
  • Labor, Obstetric
  • Patient Positioning
  • Posture
  • Pregnancy
  • Pregnancy Outcome
  • Ultrasonography, Prenatal
  • Version, Fetal/methods
Citation (ISO format)
GUITTIER, Marie-Julia et al. Maternal positioning to correct occipito-posterior fetal position in labour: a randomised controlled trial. In: BMC pregnancy and childbirth, 2014, vol. 14, p. 83. doi: 10.1186/1471-2393-14-83
Main files (1)
Article (Published version)
Identifiers
ISSN of the journal1471-2393
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168downloads

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Creation2015/10/13 15:35:00
First validation2015/10/13 15:35:00
Update time2023/03/14 23:54:05
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