Yang L, Yi T, Zhou M, Wang C, Xu X, Li Y, Sun Q, Lin X, Li J, Meng Z. Clinical effectiveness of position management and manual rotation of the fetal position with a
U-shaped birth stool for vaginal delivery of a fetus in a persistent occiput posterior position.
J Int Med Res 2021;
48:300060520924275. [PMID:
32495671 PMCID:
PMC7273577 DOI:
10.1177/0300060520924275]
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Abstract
Objective
To examine the effects of position management, manual rotation of the fetal
position, and using a U-shaped birth stool in primiparous women with a fetus
in a persistent occiput posterior position.
Methods
This was a prospective pilot study of women who delivered at Gansu Provincial
Maternity and Child-care Hospital between January and June 2018. The women
were divided into the position management ([PM] position management, manual
rotation of fetal position, use of a U-shaped birth stool at different
stages, and routine nursing) and control groups (position selected by women
and routine nursing).
Results
There were 196 women in the PM group and 188 in the control group. There were
no significant differences in maternal age, gestational weeks, newborn
weight, and the neonatal asphyxia rate between the PM and control groups.
The duration of labor was shorter in the PM group than in the control group.
Pain and blood loss 2 hours after delivery and the episiotomy rate were
significantly lower in the PM group than in the control group.
Conclusion
Applying position management, manual rotation of the fetal position, and
using a U-shaped birth stool should be considered for women with a fetus in
a persistent occiput posterior position.
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