The Benefits of Manual Rotation in The Treatment of Occiput Posterior Position: A Case Study of Iraq
Publish Year: 1402
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_JOGCR-8-3_008
تاریخ نمایه سازی: 24 خرداد 1402
Abstract:
Background & Objective: The fetal head's persistent posterior position, which ranges from ۱ to ۵% during birth, has long been acknowledged as a significant challenge of intrapartum treatment. ۱۰% to ۲۰% of fetuses are found to be in the occiput posterior (OP) position at the beginning of labor; ۹۰% of them rotate to the occiput anterior. This research aims to analyze the rate of delivery in the OP position (also called sunny-side-up) concerning the outcome of manual rotation carried out contingent upon the OP position remains persistent. Perinatal outcomes were the secondary goals. Materials & Methods: This prospective cohort study was carried out in Obstetrics & Gynecology Clinic (OGC) at Faruk Medical City, Iraq. The study included all women who experienced a singleton pregnancy after ۳۶ weeks, had an effort to rotate the fetus manually and had the fetus remain in the persistent OP position. The primary result was the delivery's occiput position. Perineal injuries, labor length, and the method of delivery have been the secondary outcomes. According to the outcome of manual rotation, two groups were contrasted. Results: The overall number of women participating was ۲۵۰, and the manual rotation success rate was ۵۹.۱%. The success was strongly correlated with a reduction in the OP position during vaginal, cesarean, operative vaginal delivery, episiotomy, and obstetric anal sphincter injury. Conclusion: Reduced incidence of OP position at anal sphincter injury during operative vaginal delivery is linked to attempts at manual rotation in the case of persistent OP position.
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Authors
Hamza Radhi
College of MLT/ Ahl Al Bayt University / Kerbala / Iraq
Shaymaa Abdulhameed Khudair
Advanced Biomedical Science/ Al Nisour University College/ Baghdad/ Iraq
Miaad Adnan
Anesthesia Techniques Department, Al-Mustaqbal University College, Babylon, Iraq
Muntaha Kadhem Mejbel
Al Hadi University College, Baghdad, ۱۰۰۱۱, Iraq
Ahmed S. Abed
Hilla University college, Babylon, Iraq/ Department of Prosthetic Dental Technology/ Iraq
Nizar Awish Jassem
College of Pharmacy, Al-Ayen University, Thi-Qar, Iraq
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