Manual rotation of the fetal occiput: Predictors of success and delivery

Brian Shaffer, Yvonne W. Cheng, Juan E. Vargas, Russell K. Laros, Aaron Caughey

Research output: Contribution to journalArticle

40 Citations (Scopus)

Abstract

Objective: The purpose of the study was to define predictors of successful rotation and rate of cesarean delivery after manual rotation of the fetal occiput from occiput posterior or transverse position. Study design: A retrospective cohort study comprised patients who underwent a trial of manual rotation of the fetal occiput from occiput posterior or occiput transverse position. Successful rotation was defined as delivery in the occiput anterior position. We examined maternal, fetal, and labor characteristics as predictors of both fetal position at delivery and cesarean delivery. Results: Multiparity (odds ratio, 2.5; 95% CI, 1.5-3.8) and maternal age 35 years, labor induction, and epidural usage were associated with higher rates of cesarean delivery. Conclusion: After successful manual rotation of the fetal occiput, women had lower cesarean delivery rates than women with unsuccessful rotations. Multiparity and maternal age of

Original languageEnglish (US)
JournalAmerican Journal of Obstetrics and Gynecology
Volume194
Issue number5
DOIs
StatePublished - May 2006
Externally publishedYes

Fingerprint

Maternal Age
Parity
Induced Labor
Cohort Studies
Retrospective Studies
Odds Ratio
Mothers

Keywords

  • Cesarean delivery
  • Manual rotation
  • Occiput posterior

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

Cite this

Manual rotation of the fetal occiput : Predictors of success and delivery. / Shaffer, Brian; Cheng, Yvonne W.; Vargas, Juan E.; Laros, Russell K.; Caughey, Aaron.

In: American Journal of Obstetrics and Gynecology, Vol. 194, No. 5, 05.2006.

Research output: Contribution to journalArticle

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