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Title

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

Authors
Guittier, Marie-Julia
Published in BMC Pregnancy and Childbirth. 2014, vol. 14, p. 83
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 FemaleHead/embryology/ultrasonographyHumansInfant, NewbornLabor PresentationLabor, ObstetricPatient PositioningPosturePregnancyPregnancy OutcomeUltrasonography, PrenatalVersion, Fetal/methods
Identifiers
PMID: 24564746
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Article (Published version) (782 Kb) - public document Free access
Structures
Research group Groupe Irion Olivier/Boulvain Michel (gynécologie et obstétrique) (272)
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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. https://archive-ouverte.unige.ch/unige:77913

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Deposited on : 2015-11-30

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