Management of persistent occiput posterior position: The added value of manual rotation.
cesarean
instrumental rotation
manual rotation
obstetric anal sphincter injury
operative delivery
persistent occiput posterior position
Journal
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
ISSN: 1879-3479
Titre abrégé: Int J Gynaecol Obstet
Pays: United States
ID NLM: 0210174
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
revised:
19
07
2021
received:
27
05
2021
accepted:
11
08
2021
pubmed:
14
8
2021
medline:
18
5
2022
entrez:
13
8
2021
Statut:
ppublish
Résumé
To evaluate the delivery rate in the occiput posterior position according to the result of manual rotation performed in the case of persistent occiput posterior position. Secondary objectives were perinatal outcomes. This was a prospective cohort study conducted in two French tertiary care units. All women with a singleton pregnancy after 37 weeks of gestation with a fetus in persistent occiput posterior position and an attempt of manual rotation were included. The main outcome was the occiput position at delivery. The secondary outcomes were duration of labor, mode of delivery, and perineal tears. Two groups were compared according to the result of manual rotation. In total, 460 women were included, with a manual rotation success of 62.4%. The success was significantly associated with a decrease in occiput posterior position at vaginal delivery (1.4% vs 57.2%, P < 0.0001), cesarean (0.7% vs 17.9%, P < 0.0001), operative vaginal delivery (40.1% vs 78%, P < 0.0001), episiotomy (40.1% vs 54.9%, P < 0.0001), and obstetric anal sphincter injury (3.1% vs 8.7%, P = 0.008) compared with a failure. An attempt of manual rotation in the case of persistent occiput posterior position is associated with decreased rates of occiput posterior position at delivery, operative delivery, and anal sphincter injuries.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
613-617Informations de copyright
© 2021 International Federation of Gynecology and Obstetrics.
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