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Manual Rotation in Occipitoposterior Presentation
Aka: Manual Rotation in Occipitoposterior Presentation
- See Also
- Occiput Posterior
- Labor Dystocia
- Indications
- Occiput Posterior and Failure to Progress
- Safety
- Low risk procedure (but does require training)
- 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
- Efficacy
- Significantly reduces cesareans in OP Presentation
- Shaffer (2006) Am J Obstet Gynecol194:e7-9 [PubMed]