The management of persistent occipito-posterior position

A. Neri, B. Kaplan*, D. Rabinerson, J. Sulkes, J. Ovadia

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Persistent occipito-posterior position (POP) is found in about 1% of labors, and its management is still controversial. A study group of 319 patients with POP deliveries were screened and analyzed for prepartum, intrapartum and postpartum parameters. A control group of the same size was matched for maternal age (mean 27.28 ± 5.22 yrs), gravidit (mean 2.52 ± 1.95) and parity (mean 1.13 ± 1.67). Statistically significant differences were found between the study and the control groups regarding the incidence of instrumental (forceps/vacuum) deliveries, prolonged second stage, pregnancy-induced hypertension, prostaglandin E2 induction, premature rupture of membranes and episiotomy. A discussion is presented evaluating the possible significance of these findings. Although the high rate of instrumental deliveries encourages active management of POP labors, the authors advocate a more conservative approach.

Original languageEnglish
Pages (from-to)126-131
Number of pages6
JournalClinical and Experimental Obstetrics and Gynecology
Volume22
Issue number2
StatePublished - 1995
Externally publishedYes

Keywords

  • Delivery
  • Occipito-posterior

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