Document Detail

Digital rotation from occipito-posterior to occipito-anterior decreases the need for cesarean section.
MedLine Citation:
PMID:  17368909     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Our purpose was to study prospectively the efficacy of digital rotation in reducing the prevalence of persistent occipito-posterior position (POP) and its consequences.
STUDY DESIGN: Sixty-one women with a singleton pregnancy were enrolled prospectively between July 2003 and July 2004. They were in the second stage of labor with the fetal head engaged in the occipito-posterior position. During the first period of the study women were allowed to continue labor without intervention (group I); during the second period, digital rotation was performed (group II).
RESULTS: In group I 15% of the fetuses were delivered in the occipito-anterior position and 27% underwent spontaneous vaginal delivery, as opposed to 93% and 77%, respectively, when the procedure was performed-an increase in spontaneous vaginal delivery among the group undergoing rotation of more than 50% (p<0.0001). Cesarean section was performed in 23% and vacuum in 50% when the procedure was not performed (group I) in contrast to 0% and 23%, respectively, in the group undergoing rotation (0.0001).
CONCLUSION: Digital rotation should be considered when managing the labor of a fetus in the occipito-posterior position. The maneuver successfully rotates the fetus reducing the need for cesarean section, instrumental delivery, and other complications associated with POP.
Orna Reichman; Efraim Gdansky; Boris Latinsky; Sylvie Labi; Arnon Samueloff
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Publication Detail:
Type:  Controlled Clinical Trial; Journal Article     Date:  2007-03-21
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  136     ISSN:  0301-2115     ISO Abbreviation:  Eur. J. Obstet. Gynecol. Reprod. Biol.     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2008-01-08     Completed Date:  2008-03-18     Revised Date:  2014-01-23    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  25-8     Citation Subset:  IM    
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MeSH Terms
Cesarean Section / utilization
Labor Presentation*
Labor Stage, Second
Obstetric Labor Complications*
Prospective Studies
Version, Fetal / methods*
Comment In:
Eur J Obstet Gynecol Reprod Biol. 2013 Dec;171(2):e3-4   [PMID:  18455865 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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