Diagnosis and Intervention for Occiput Posterior Malposition

Ridley, Renee T.

doi:10.1111/j.1552-6909.2007.00130.x

Cited by 14 publications

(18 citation statements)

References 31 publications

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“…[12][13][14] Despite its importance, changing positions can be challenging because of routine interventions, such as amniotomy, induction of labor, fetal monitoring and the equipment involved, epidural anesthesia, maternal obesity. Movement and position changes during labor have been reported to promote labor progress.…”

Section: Positioning During Labor/type Of Fetal Descentmentioning

confidence: 99%

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Routine Obstetrical Interventions

James¹

2011

Journal of Perinatal &Amp; Neonatal Nursing

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There are many interventions performed as a part of the active management of labor and birth that have remained unchanged over the years. Separating ritual from beneficial nursing care can guide the development of a research agenda. The agenda for the next 10 years can address some of the gaps remaining in the evidence-based foundation for routine interventions used during labor and birth. The gaps identify areas where unanswered questions prevent optimal care from occurring. These unanswered questions include optimal time for epidural administration; management of maternal movement during labor when routine interventions make this difficult; changing the practice of immediate, closed glottis coached pushing at 10 cm; continuous electronic fetal monitoring; routine administration of intravenous fluids; and finally, the use of oxytocin as augmentation or induction of labor.

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Section: Positioning During Labor/type Of Fetal Descentmentioning

confidence: 99%

“…[3][4][5][6]12 This general consensus on positioning during labor and birth make research in this area less critical (Table 2). The upright, side-lying positions or squatting positions can improve birth outcomes and decrease complications.…”

Section: Positioning During Labor/type Of Fetal Descentmentioning

confidence: 99%

Routine Obstetrical Interventions

James¹

2011

Journal of Perinatal &Amp; Neonatal Nursing

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“…[1][2][3] The occiput posterior position of the fetal head occurs in 40% of labors. To ensure a normal delivery it is necessary that the fetus's lower fontanelle is situated in the anterior half of the pelvis, and in this case, the position of the fetal head is occiput anterior.…”

Section: Introductionmentioning

confidence: 99%

Efficiency of the modified Sims maternal position in the rotation of persistent occiput posterior position during labor: A randomized clinical trial

Bueno-Lopez

Fuentelsaz-Gallego

Casellas-Caro

et al. 2018

Birth

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“…3,4,6 Múltiples investigadores la relacionan con el incremento de la primera y segunda fases del parto, uso de analgesia epidural y oxitocina, así como, mayores tasas de episiotomías, lesiones del esfínter anal, partos instrumentales, cesáreas y pérdida de sangre superior a 500 ml. 3,4,[6][7][8][9][10] La ecografía abdominal es el método diagnóstico de elección, 4,11 aunque el examen clínico por tacto vaginal tiene una fiabilidad del 85,7%, siendo recomendado durante el parto, especialmente en unidades de partos con dificultad para la realización de ecografía. [12][13][14] Determinadas posturas adoptadas por la mujer durante el parto, como el decúbito lateral (DL), pueden favorecer la rotación fetal espontánea a OA, ayudadas por la fuerza de la gravedad sobre el feto, su flotabilidad en el líquido amniótico y la contracción uterina intermitente.…”

Section: Introductionunclassified

“…16,17 Distintos autores consideran que esta postura es eficaz para conseguir la rotación fetal durante el parto, especialmente en mujeres con analgesia epidural. 11,13,14 ya que su administración no impide que la mujer la adopte.…”

Section: Introductionunclassified

Eficacia de la postura materna manos-rodillas para corregir la posición fetal occipitoposterior en el parto

Molina-Reyes¹,

Muñoz-Martínez²,

Martínez-García³

et al. 2014

Index Enferm

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Resumen AbstractObjetivo principal: Valorar la rotación fetal de posición occipitoposterior (OP) a occipitoanterior (OA) durante el parto con la postura "manos-rodillas" (MR) frente a la postura "decúbito lateral (DL) hacia la espalda fetal". Metodología: Ensayo clínico multicéntrico. Mediante asignación aleatoria, 65 gestantes con posición fetal OP adoptaron la postura MR (grupo MR) y 70 gestantes la postura DL hacia la espalda fetal (grupo DL) durante 30 minutos. Resultados principales: Similar rotación fetal a OA durante la intervención del grupo MR frente al grupo DL (55,4% vs. 54,3%; Odds Ratio de 1,04 para un intervalo de confianza al 95%:0,53-2,06). Tampoco hubo diferencias estadísti-camente significativas para los resultados de duración y tipo de terminación del parto entre los grupos. Conclusión principal: Para mejorar los resultados de los partos con posición fetal occipitoposterior recomendamos la adopción de las posturas MR y DL hacia la espalda fetal durante el parto, pues ambas tienen similar eficacia de rotación fetal a occipitoanterior. Palabras clave: Parto. Rotación fetal. Postura lateral. Postura manos-rodillas. Posición occipitoposterior. EFFICACY OF HANDS AND KNEES MATERNAL POSTURE TO CORRECT THE OCCIPITOPOSTERIOR FETAL POSITION DURING LABORObjective: To evaluate the efficacy of hands and knees (HK) maternal posture during labor thus promoting fetal rotation from occipitoposterior to occipitoanterior and to compare the results with the lateral toward the fetal back posture. Methods: Multicenter clinical trial. By simple randomization and for at least 30 minutes, 65 women with a single fetus in occipitoposterior position took the HK posture (HK group) and 70 women took the "lateral toward the fetal back" posture (lateral group). Results: HK group and lateral group have similar fetal rotation to occipitoanterior during the intervention (55.4% vs. 54.3%, odds ratio of 1.04 for a confidence level of 95%: 0.53-2.06). There were no statistically significant differences for the results of duration and type of birth between groups. Conclusions: To improve birth outcomes, We recommend that pregnant women with occipitoposterior fetal position adopt HK posture and lateral toward the fetal back posture during labor, because both postures have similar efficacy of fetal rotation to occipitoanterior.

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Diagnosis and Intervention for Occiput Posterior Malposition

Cited by 14 publications

References 31 publications

Routine Obstetrical Interventions

Routine Obstetrical Interventions

Efficiency of the modified Sims maternal position in the rotation of persistent occiput posterior position during labor: A randomized clinical trial

Eficacia de la postura materna manos-rodillas para corregir la posición fetal occipitoposterior en el parto

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