UNIGE document Scientific Article
previous document  unige:77913  next document
add to browser collection

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

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
PMID: 24564746
Full text
Article (Published version) (782 Kb) - document accessible for UNIGE members only Limited access to UNIGE
Research group Groupe Irion Olivier/Boulvain Michel (gynécologie et obstétrique) (272)
(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. https://archive-ouverte.unige.ch/unige:77913

121 hits

0 download


Deposited on : 2015-11-30

Export document
Format :
Citation style :