The Benefits of Manual Rotation in The Treatment of Occiput Posterior Position: A Case Study of Iraq

Radhi, Hamza; Abdulhameed Khudair, Shaymaa; Adnan, Miaad; Kadhem Mejbel, Muntaha; S. Abed, Ahmed; Awish Jassem, Nizar

doi:10.30699/jogcr.8.3.249

Document Type : Original Research Article

Authors

¹ College of MLT, Ahl Al Bayt University, Kerbala, Iraq

² Advanced Biomedical Science, Al Nisour University College, Baghdad, Iraq

³ Anesthesia Techniques Department, Al-Mustaqbal University College, Babylon, Iraq

⁴ Al Hadi University College, Baghdad, Iraq

⁵ Department of Prosthetic Dental Technology, Hilla University college, Babylon, Iraq

⁶ College of Pharmacy, Al-Ayen University, Thi-Qar, Iraq

https://doi.org/10.30699/jogcr.8.3.249

Abstract

Background & Objective: The fetal head's persistent posterior position, which ranges from 1 to 5% during birth, has long been acknowledged as a significant challenge of intrapartum treatment. 10% to 20% of fetuses are found to be in the occiput posterior (OP) position at the beginning of labor; 90% of them rotate to the occiput anterior. This research aims to analyze the rate of delivery in the OP position (also called sunny-side-up) concerning the outcome of manual rotation carried out contingent upon the OP position remains persistent. Perinatal outcomes were the secondary goals.
Materials & Methods: This prospective cohort study was carried out in Obstetrics & Gynecology Clinic (OGC) at Faruk Medical City, Iraq. The study included all women who experienced a singleton pregnancy after 36 weeks, had an effort to rotate the fetus manually and had the fetus remain in the persistent OP position. The primary result was the delivery's occiput position. Perineal injuries, labor length, and the method of delivery have been the secondary outcomes. According to the outcome of manual rotation, two groups were contrasted.
Results: The overall number of women participating was 250, and the manual rotation success rate was 59.1%. The success was strongly correlated with a reduction in the OP position during vaginal, cesarean, operative vaginal delivery, episiotomy, and obstetric anal sphincter injury.
Conclusion: Reduced incidence of OP position at anal sphincter injury during operative vaginal delivery is linked to attempts at manual rotation in the case of persistent OP position.

Highlights

✅ Reduced incidence of OP position at anal sphincter injury during operative vaginal delivery is linked to attempts at manual rotation in the case of persistent OP position.

Keywords

Main Subjects

Obstetrics and Gynecology

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Journal of Obstetrics, Gynecology and Cancer Research

The Benefits of Manual Rotation in The Treatment of Occiput Posterior Position: A Case Study of Iraq

References

References

Volume 8, Issue 3 - Serial Number 32
May and June 2023
Pages 249-254

The Benefits of Manual Rotation in The Treatment of Occiput Posterior Position: A Case Study of Iraq

References

References

Volume 8, Issue 3 - Serial Number 32May and June 2023Pages 249-254

Volume 8, Issue 3 - Serial Number 32
May and June 2023
Pages 249-254