Digital rotation from occipito-posterior to occipito-anterior decreases the need for cesarean section

Reichman, Orna; Gdansky, Efraim; Latinsky, Boris; Labi, Sylvie; Samueloff, Arnon

doi:10.1016/j.ejogrb.2006.12.025

Cited by 64 publications

(50 citation statements)

References 8 publications

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“…Although the study by Sen et al [31] was not excluded despite its low methodological quality, papers by Le Ray et al [13], Le Ray et al [29] and Shafferet al [14] were given the highest methodological were prioritised in the thematic analysis. The studies by Shaffer et al [27] and Reichman et al [30] were of medium quality. …”

Section: Study Characteristics and Methodological Qualitymentioning

confidence: 99%

“…Although Le Ray et al [29] only found a CD reduction rate of 1.7% after MR, there was a 15.4% reduction in the operative delivery rate. Both Reichman et al [30] and Le Ray et al [29] found an increase in instrumental delivery rates after MR of 27.4% and 13.8%. Shaffer et al [14] reported almost identical instrumental delivery rates after MR and expectant management.…”

Section: Mode Of Delivery After Manual Rotation Versus Expectant Manamentioning

confidence: 99%

“…The authors based their reasons for arguing that MR can reduce VD, FD and CD on two different findings. Reichman et al [30], Shaffer et al [14], Le Ray et al [29] and Graham et al [28] were influenced by the findings related to mode of delivery after MR versus expectant management.…”

Section: Interpretations Of Findingsmentioning

confidence: 99%

“…Reichman et al [30] revealed that none of the women who underwent MR had a CD (Table 4). Shaffer et al [14] reported a CD reduction rate of 32.8 % after MR.…”

Section: Mode Of Delivery After Manual Rotation Versus Expectant Manamentioning

confidence: 99%

See 3 more Smart Citations

How Can Manual Rotation Reduce Vacuum, Forceps and Caesarean Deliveries?—A Review of the Evidence

Os¹,

Severinsson²

2017

OJN

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The aim of this review was to investigate whether manual rotation can be used to reduce vacuum, forceps and caesarean deliveries in women with occiput posterior or occiput transverse positions from 7 cm dilation in labour. A search strategy was developed and relevant papers published between 1946 and January 2015 were identified from electronic databases. Key search terms used were manual and digital rotation, labour presentation, obstetric labour complications, occiput posterior and version foetal. The search revealed 330 papers. A short list of 33 publications of possible relevance was compiled and assessed using the following criteria: primary studies on the effectiveness of manual rotation performed in women with singleton occiput posterior or occiput transverse presentations published in English or the Scandinavian languages. The quality of the included studies was evaluated by means of the critical appraisal tools for quantitative studies. Seven studies were included in the thematic analysis. The results varied but the main finding was that in order to decrease vacuum, forceps and caesarean deliveries by means of manual rotation, it is essential that the procedure is successful. The success rate of manual rotation is dependent on the experience of the healthcare professionals who perform the rotation procedure rather than the technique employed. Predictors of successful manual rotation were used after engagement of the foetal head, at full dilatation and prophylactic use before failure to progress in labour. In conclusion, although the results vary, there is a consensus in all the studies that manual rotation is worth considering and that it can contribute to decreasing vacuum, forceps and caesarean deliveries. The implications for practice are that successful manual rotation can reduce caesarean delivery and increase spontaneous vaginal delivery, but experience is necessary to perform successful rotations. Because there are no risk factors associated with manual or digital rotation when performed after engagement of the head and at full dilatation, they are worth considering. The central role of the midwife in each individual labour makes her important for ensuring that manual rotation can be considered at the right time in labour.

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Section: Study Characteristics and Methodological Qualitymentioning

confidence: 99%

Section: Mode Of Delivery After Manual Rotation Versus Expectant Manamentioning

confidence: 99%

Section: Interpretations Of Findingsmentioning

confidence: 99%

“…Reichman et al [30] revealed that none of the women who underwent MR had a CD (Table 4). Shaffer et al [14] reported a CD reduction rate of 32.8 % after MR.…”

Section: Mode Of Delivery After Manual Rotation Versus Expectant Manamentioning

confidence: 99%

See 2 more Smart Citations

How Can Manual Rotation Reduce Vacuum, Forceps and Caesarean Deliveries?—A Review of the Evidence

Os¹,

Severinsson²

2017

OJN

View full text Add to dashboard Cite

show abstract

“…Clinicians can likely reduce primary cesareans by offering external cephalic version to women with a breech fetus, 11 extending the diagnosis of active phase arrest to at least 4 h, 12,13 using manual rotation of the fetal occiput in the setting of persistent occiput transverse or posterior positions, 14,15 and suppression of HSV lesions in women who are herpes simplex virus positive. 16 However, clinicians have little incentive to extend the diagnosis of active phase arrest, do external cephalic versions or attempt manual rotation because each of these involves the expense of clinical time without reimbursement.…”

mentioning

confidence: 99%

Reducing primary cesarean delivery: can we prevent current and future morbidity and mortality?

Caughey

2009

J Perinatol

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Malpresentation and malposition

Cheng¹,

Caughey²

2015

Management of Labor and Delivery

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Digital rotation from occipito-posterior to occipito-anterior decreases the need for cesarean section

Cited by 64 publications

References 8 publications

How Can Manual Rotation Reduce Vacuum, Forceps and Caesarean Deliveries?—A Review of the Evidence

How Can Manual Rotation Reduce Vacuum, Forceps and Caesarean Deliveries?—A Review of the Evidence

Reducing primary cesarean delivery: can we prevent current and future morbidity and mortality?

Malpresentation and malposition

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