Management of the occiput posterior presentation: A single institute experience

Sen, Keiiku; Hideki, Sakamoto; Nakabayashi, Yasushi; Takeda, Yohei; Nakayama, Shinichi; Adachi, Tomoko; Nakabayashi, Masao

doi:10.1111/j.1447-0756.2012.01935.x

Cited by 10 publications

(17 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nevertheless, it is a valuable study because it shows that a large double-blinded multi-centre RCT is feasible. Although the study by Sen et al [31] was not excluded despite its low methodological quality, papers by Le Ray et al [13], Le Ray et al [29] and Shafferet al [14] were given the highest methodological were prioritised in the thematic analysis. The studies by Shaffer et al [27] and Reichman et al [30] were of medium quality.…”

Section: Study Characteristics and Methodological Qualitymentioning

confidence: 99%

“…There were two Cohort studies [14] [27] one Case-control study [13] and one Pilot study [28]. The rest were a mix of retrospective and prospective studies [29] [30] [31].…”

Section: Study Characteristics and Methodological Qualitymentioning

confidence: 99%

“…Shaffer et al [27], Le Ray et al [13] and Sen et al [31] referred to the findings related to mode of delivery after successful versus unsuccessful MR. The results will be presented separately as: mode of delivery after MR versus expectant management (Table 4) and mode of delivery after successful versus unsuccessful MR (Table 5).…”

Section: Interpretations Of Findingsmentioning

confidence: 99%

“…In all of the included studies midwives supervised the labour and attended the physician performing MR. Midwives who experienced in MR also performed the procedure in all studies, with the exception of Sen et al [31] and Graham et al [28].…”

Section: Midwives' Involvement In Manual Rotationmentioning

confidence: 99%

“…Sen et al [31] did not analyse MR as an individual procedure, but 17 cases of MR and 13 Posture changes. Although the small population led to a lack of power, the conclusion is interesting.…”

Section: Interpretations Of Findingsmentioning

confidence: 99%

See 4 more Smart Citations

How Can Manual Rotation Reduce Vacuum, Forceps and Caesarean Deliveries?—A Review of the Evidence

Os¹,

Severinsson²

2017

OJN

View full text Add to dashboard Cite

The aim of this review was to investigate whether manual rotation can be used to reduce vacuum, forceps and caesarean deliveries in women with occiput posterior or occiput transverse positions from 7 cm dilation in labour. A search strategy was developed and relevant papers published between 1946 and January 2015 were identified from electronic databases. Key search terms used were manual and digital rotation, labour presentation, obstetric labour complications, occiput posterior and version foetal. The search revealed 330 papers. A short list of 33 publications of possible relevance was compiled and assessed using the following criteria: primary studies on the effectiveness of manual rotation performed in women with singleton occiput posterior or occiput transverse presentations published in English or the Scandinavian languages. The quality of the included studies was evaluated by means of the critical appraisal tools for quantitative studies. Seven studies were included in the thematic analysis. The results varied but the main finding was that in order to decrease vacuum, forceps and caesarean deliveries by means of manual rotation, it is essential that the procedure is successful. The success rate of manual rotation is dependent on the experience of the healthcare professionals who perform the rotation procedure rather than the technique employed. Predictors of successful manual rotation were used after engagement of the foetal head, at full dilatation and prophylactic use before failure to progress in labour. In conclusion, although the results vary, there is a consensus in all the studies that manual rotation is worth considering and that it can contribute to decreasing vacuum, forceps and caesarean deliveries. The implications for practice are that successful manual rotation can reduce caesarean delivery and increase spontaneous vaginal delivery, but experience is necessary to perform successful rotations. Because there are no risk factors associated with manual or digital rotation when performed after engagement of the head and at full dilatation, they are worth considering. The central role of the midwife in each individual labour makes her important for ensuring that manual rotation can be considered at the right time in labour.

show abstract

Section: Study Characteristics and Methodological Qualitymentioning

confidence: 99%

“…There were two Cohort studies [14] [27] one Case-control study [13] and one Pilot study [28]. The rest were a mix of retrospective and prospective studies [29] [30] [31].…”

Section: Study Characteristics and Methodological Qualitymentioning

confidence: 99%

Section: Interpretations Of Findingsmentioning

confidence: 99%

Section: Midwives' Involvement In Manual Rotationmentioning

confidence: 99%

Section: Interpretations Of Findingsmentioning

confidence: 99%

See 3 more Smart Citations

How Can Manual Rotation Reduce Vacuum, Forceps and Caesarean Deliveries?—A Review of the Evidence

Os¹,

Severinsson²

2017

OJN

View full text Add to dashboard Cite

show abstract

Predictors of successful manual rotation for occiput posterior positions

Bertholdt

Gauchotte²,

Dap³

et al. 2018

Intl J Gynecology & Obste

View full text Add to dashboard Cite

Objective To identify predictors of the success of manual rotation of fetuses in an occiput posterior position. Methods A prospective, observational, single‐center study included all women with a singleton pregnancy at term with a fetus in an occiput posterior position for whom manual rotation was attempted from December 1, 2013, to April 30, 2015 at a tertiary care maternity unit in Nancy, France. Occiput posterior position was confirmed by ultrasonography, and success of manual rotation was defined by the occiput anterior position of the fetus after the attempt. Results Occiput posterior position was diagnosed in 233 (9.2%) of the 2522 deliveries during the study period and the majority of cases were managed successfully by manual rotation (167 [71.7%]). Factors associated with successful rotation were fetal engagement (adjusted odds ratio [aOR] 2.20, 95% confidence interval [CI] 1.05–4.56), spontaneous labor (aOR 1.85, 95% CI 1.01–3.43), and no failure to progress (aOR 2.01, 95% CI 1.02–3.94). Successful manual rotation was associated with lower rates of cesarean (P<0.001) and instrumental (P<0.001) deliveries. Conclusion Study findings suggested that manual rotation, especially after fetal engagement, succeeded more often when performed systematically than when it was attempted after failure to progress.

show abstract

Variétés postérieures au cours du travail : mécanique obstétricale, diagnostic et prise en charge

Castel

Bretelle

D’ercole

et al. 2019

Gynécologie Obstétrique Fertilité & Sénologie

View full text Add to dashboard Cite

Management of the occiput posterior presentation: A single institute experience

Abstract: Attempts to correct pOP by manual rotation have better results when the head is in the mid-pelvis. Also, posture change reduces cesarean section rate. The current data suggest attempts to correct pOP to OA reduce cesarean section rate.

Cited by 10 publications

References 11 publications

How Can Manual Rotation Reduce Vacuum, Forceps and Caesarean Deliveries?—A Review of the Evidence

How Can Manual Rotation Reduce Vacuum, Forceps and Caesarean Deliveries?—A Review of the Evidence

Predictors of successful manual rotation for occiput posterior positions

Variétés postérieures au cours du travail : mécanique obstétricale, diagnostic et prise en charge

Contact Info

Product

Resources

About