Obstetrics Book

http://www.fpnotebook.com/

Manual Rotation in Occipitoposterior Presentation

Aka: Manual Rotation in Occipitoposterior Presentation
  1. See Also
    1. Occiput Posterior
    2. Labor Dystocia
  2. Indications
    1. Occiput Posterior and Failure to Progress
  3. Safety
    1. Low risk procedure (but does require training)
  4. Technique
    1. Flex fetal head
      1. Place hand in posterior Pelvis behind occiput
      2. Wedge head into flexion
    2. Rotate head
      1. Perform during contraction with mother pushing
      2. OP: Examiner pronates dominant hand on exam
      3. ROP: Examiner pronates left hand clockwise
      4. LOP: Examiner pronates right hand counter clockwise
  5. Efficacy
    1. Significantly reduces cesareans in OP Presentation
      1. Shaffer (2006) Am J Obstet Gynecol194:e7-9 [PubMed]

You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree