Chinese Medical E-ournals Database

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2020, Vol. 16 ›› Issue (03): 266 -271. doi: 10.3877/cma.j.issn.1673-5250.2020.03.003

Special Issue:

Forum

Current research status of maternal positioning to correct persistent occiput posterior position during labor

Ning Sun1, Aiqun Xu1,()   

  1. 1. Department of Obstetrics, Yantai Affiliated Hospital of Binzhou Medical University, Binzhou 256600, Shandong Province, China
  • Received:2020-02-03 Revised:2020-05-01 Published:2020-06-01
  • Corresponding author: Aiqun Xu
  • About author:
    Corresponding author: Xu Aiqun, Email:
  • Supported by:
    National Natural Science Foundation of China(81702029)

Malpresentation is one of the important causes of dystocia. Persistent occiput posterior position (POPP) is the most common malpresentation of the fetal head during labor and its diagnosis remains challenging. POPP is associated with increased rates of maternal and newborn morbidity. There are currently three methods of rotating fetal heads for POPP pregnant women during labor: manual rotation, instrumental rotation (vacuum extraction or obstetric forceps) and maternal position intervention. Both manual and instrumental rotation have potential harm to pregnant women and their newborns. As a non-invasive method, maternal position intervention has become a hot topic in obstetrics for domestic and foreign scholars. At present, the commonly used postural interventions of pregnant women with POPP mainly include: hands and knees decubitus position, lateral asymmetric decubitus (LAD), serial position intervention. This article intends to elaborate on the definition of POPP and its incidence, high risk factors, harm to pregnant women and their newborns and the latest research progress in management of labor.

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