II. Indications
III. Safety
- Low risk procedure (but does require training)
IV. Technique
- Flex fetal head
- Place hand in posterior Pelvis behind occiput
- Wedge head into flexion
- Rotate head
- Perform during contraction with mother pushing
- OP: Examiner pronates dominant hand on exam
- ROP: Examiner pronates left hand clockwise
- LOP: Examiner pronates right hand counter clockwise
V. Efficacy
- Significantly reduces cesareans in OP Presentation