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Occipitoposterior position

MedGen UID:
604589
•Concept ID:
C0426096
•
Finding
Synonym: OP - Occipitoposterior position
SNOMED CT: OP - Occipitoposterior position (37235006); Occipitoposterior position (37235006)

Recent clinical studies

Etiology

Does ultrasonographic foetal head position prior to induction of labour predict the outcome of delivery?
Verhoeven CJ, Mulders LG, Oei SG, Mol BW
Eur J Obstet Gynecol Reprod Biol 2012 Oct;164(2):133-7. Epub 2012 Jun 30 doi: 10.1016/j.ejogrb.2012.06.002. PMID: 22749783
Malpresentations--impact on mode of delivery.
Gardberg M, Leonova Y, Laakkonen E
Acta Obstet Gynecol Scand 2011 May;90(5):540-2. doi: 10.1111/j.1600-0412.2011.01105.x. PMID: 21501123
Randomized controlled trial of hands-and-knees positioning for occipitoposterior position in labor.
Stremler R, Hodnett E, Petryshen P, Stevens B, Weston J, Willan AR
Birth 2005 Dec;32(4):243-51. doi: 10.1111/j.0730-7659.2005.00382.x. PMID: 16336365
Hands and knees posture in late pregnancy or labour for fetal malposition (lateral or posterior).
Hofmeyr GJ, Kulier R
Cochrane Database Syst Rev 2005 Apr 18;(2):CD001063. doi: 10.1002/14651858.CD001063.pub2. PMID: 15846611
Occipitoposterior position: associated factors and obstetric outcome in nulliparas.
Sizer AR, Nirmal DM
Obstet Gynecol 2000 Nov;96(5 Pt 1):749-52. doi: 10.1016/s0029-7844(00)01030-9. PMID: 11042312

Diagnosis

Postpartum lumbosacral radiculopathy: a neuraxial anaesthesia complication or an intrinsic obstetric palsy?
Sousa LS, Pacheco J, Reis-de-Carvalho C, Lança F
BMJ Case Rep 2021 Apr 21;14(4) doi: 10.1136/bcr-2021-241669. PMID: 33883118Free PMC Article
Does ultrasonographic foetal head position prior to induction of labour predict the outcome of delivery?
Verhoeven CJ, Mulders LG, Oei SG, Mol BW
Eur J Obstet Gynecol Reprod Biol 2012 Oct;164(2):133-7. Epub 2012 Jun 30 doi: 10.1016/j.ejogrb.2012.06.002. PMID: 22749783
The fetal-pelvic index: a method of identifying fetal-pelvic disproportion in women attempting vaginal birth after previous cesarean delivery.
Thurnau GR, Scates DH, Morgan MA
Am J Obstet Gynecol 1991 Aug;165(2):353-8. doi: 10.1016/0002-9378(91)90091-5. PMID: 1872337
Prevention of prolonged labour.
O'Driscoll K, Jackson RJ, Gallagher JT
Br Med J 1969 May 24;2(5655):477-80. doi: 10.1136/bmj.2.5655.477. PMID: 5771578Free PMC Article

Therapy

When should women be recruited to intrapartum research projects? A retrospective review.
Phipps H, de Vries B, Kuah S, Hyett JA
Acta Obstet Gynecol Scand 2013 Nov;92(11):1264-70. doi: 10.1111/aogs.12243. PMID: 23961736
Malpresentations--impact on mode of delivery.
Gardberg M, Leonova Y, Laakkonen E
Acta Obstet Gynecol Scand 2011 May;90(5):540-2. doi: 10.1111/j.1600-0412.2011.01105.x. PMID: 21501123
Randomized controlled trial of hands-and-knees positioning for occipitoposterior position in labor.
Stremler R, Hodnett E, Petryshen P, Stevens B, Weston J, Willan AR
Birth 2005 Dec;32(4):243-51. doi: 10.1111/j.0730-7659.2005.00382.x. PMID: 16336365
Hands and knees posture in late pregnancy or labour for fetal malposition (lateral or posterior).
Hofmeyr GJ, Kulier R
Cochrane Database Syst Rev 2005 Apr 18;(2):CD001063. doi: 10.1002/14651858.CD001063.pub2. PMID: 15846611
Prevention of prolonged labour.
O'Driscoll K, Jackson RJ, Gallagher JT
Br Med J 1969 May 24;2(5655):477-80. doi: 10.1136/bmj.2.5655.477. PMID: 5771578Free PMC Article

Prognosis

Pubic Arch Angle Measurement by Transperineal Ultrasonography: A Prospective Cross-Sectional Study.
Carvalho Neto RH, Viana Junior AB, Moron AF, Araujo Júnior E, Carvalho FHC, Feitosa HN
Rev Bras Ginecol Obstet 2020 Apr;42(4):181-187. Epub 2020 Apr 24 doi: 10.1055/s-0040-1709690. PMID: 32330959Free PMC Article
Does ultrasonographic foetal head position prior to induction of labour predict the outcome of delivery?
Verhoeven CJ, Mulders LG, Oei SG, Mol BW
Eur J Obstet Gynecol Reprod Biol 2012 Oct;164(2):133-7. Epub 2012 Jun 30 doi: 10.1016/j.ejogrb.2012.06.002. PMID: 22749783
Malpresentations--impact on mode of delivery.
Gardberg M, Leonova Y, Laakkonen E
Acta Obstet Gynecol Scand 2011 May;90(5):540-2. doi: 10.1111/j.1600-0412.2011.01105.x. PMID: 21501123
Occipitoposterior position: associated factors and obstetric outcome in nulliparas.
Sizer AR, Nirmal DM
Obstet Gynecol 2000 Nov;96(5 Pt 1):749-52. doi: 10.1016/s0029-7844(00)01030-9. PMID: 11042312
A study of prolonged labour.
Randhawa I, Gupta KB, Kanwal M
J Indian Med Assoc 1991 Jun;89(6):161-3. PMID: 1748788

Clinical prediction guides

Pubic Arch Angle Measurement by Transperineal Ultrasonography: A Prospective Cross-Sectional Study.
Carvalho Neto RH, Viana Junior AB, Moron AF, Araujo Júnior E, Carvalho FHC, Feitosa HN
Rev Bras Ginecol Obstet 2020 Apr;42(4):181-187. Epub 2020 Apr 24 doi: 10.1055/s-0040-1709690. PMID: 32330959Free PMC Article
When should women be recruited to intrapartum research projects? A retrospective review.
Phipps H, de Vries B, Kuah S, Hyett JA
Acta Obstet Gynecol Scand 2013 Nov;92(11):1264-70. doi: 10.1111/aogs.12243. PMID: 23961736
Randomized controlled trial of hands-and-knees positioning for occipitoposterior position in labor.
Stremler R, Hodnett E, Petryshen P, Stevens B, Weston J, Willan AR
Birth 2005 Dec;32(4):243-51. doi: 10.1111/j.0730-7659.2005.00382.x. PMID: 16336365
Occipitoposterior position: associated factors and obstetric outcome in nulliparas.
Sizer AR, Nirmal DM
Obstet Gynecol 2000 Nov;96(5 Pt 1):749-52. doi: 10.1016/s0029-7844(00)01030-9. PMID: 11042312
Intrapartum sonography and persistent occiput posterior position: a study of 408 deliveries.
Gardberg M, Laakkonen E, Sälevaara M
Obstet Gynecol 1998 May;91(5 Pt 1):746-9. doi: 10.1016/s0029-7844(98)00074-x. PMID: 9572223

Recent systematic reviews

Hands and knees posture in late pregnancy or labour for fetal malposition (lateral or posterior).
Hofmeyr GJ, Kulier R
Cochrane Database Syst Rev 2005 Apr 18;(2):CD001063. doi: 10.1002/14651858.CD001063.pub2. PMID: 15846611

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