![]() Position management and manual rotation of the fetal position in the first stage of Therefore, we performed a pilot comparison study to examine the effects of Procedures effectively shorten the birth process time, reduce pain, reduce rates ofĪssisted delivery and cesarean section, and increase the rate of spontaneousĭelivery. In our hospital, position management and manual rotation of the fetal position areĪpplied in combination with use of a U-shaped birth stool for primiparous women withĪ fetus in a persistent occiput posterior position. 8 The gravity of the fetus and buoyancy of the amniotic fluid promote the fetus Pelvic space, which helps accelerate descending fetal presentation and rotation of Additionally, a sitting position increases the The plane of the pelvic outlet and the ground is approximately 60°, which favorsĭescent of the fetus into the pelvis. When pregnant women are standing upright, the angle between 7 The position of pregnant woman is a critical factor affecting manual rotation ![]() Manual rotation of the fetal position is the most effective method for treating the Risk of dystocia, decrease the rate of cesarean section, and increase the rate of 4 Early discovery, diagnosis, and management of this position can reduce the However, this can also lead to physical damage to the pregnant woman and poor Position is increased rates of assisted vaginal delivery and cesarean section. 5 The result of increased difficulties with a fetus in the occiput posterior Increases the risks of caput succedaneum, scalp hematoma, and intrauterine distress Pregnant women, which in turn results in delayed or arrested labor. 4Įarly application of abdominal pressure can lead to cervical edema and fatigue of ![]() Occiput posterior position occurs in approximately 5% of births. 3 However, spontaneous rotation cannot occur in some cases, and a persistent 2 Entering the pelvis in the occiput anterior position is normal for the fetus.Įntering the pelvis in the occiput posterior position should not necessarily beĬonsidered as abnormal because most fetuses spontaneously rotate to the occiputĪnterior position. 1 The most common fetal malposition is the occiput posterior position,Īccounting for 33.3% of malpositions occurring in labor, and the rate of dystocia isĪs high as 93.5%. ![]() Abnormal fetal position during delivery is a frequent cause of dystocia. ![]()
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