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What causes Occipito posterior position?

What causes Occipito posterior position?

The occipitoposterior position in the main is caused by the adaptation of the head to a pelvis having a narrow fore pelvis and an ample anteroposterior diameter and therefore may be considered “physiologic.” 2. 2. Degrees of the posterior position can be differentiated.

What is a complication of fetal occiput posterior position to the mother?

Complications of the occiput posterior position The OP position is associated with more frequent induction and augmentation of labour and prolonged first and second stage of [3,17,18,21], chorioamnionitis, post-partum haemorrhage, third and fourth degree perineal tears, wound infection and endometritis [22,23].

Which of the following is a risk factor for occiput posterior position at birth?

Risk factors [3, 5] for OP position at delivery described in the literature include nulliparity, maternal age, body habitus, ethnicity, decreased pelvic outlet dimensions, anterior placenta [6] , gestational age ≥ 41 weeks, birth weight (BW) ≥ 4,000 g, epidural anesthesia [7,8] , and previous pregnancy with OP position …

How can we avoid occiput posterior position?

How to Prevent a Posterior Labor

  1. Avoid all reclining positions.
  2. Keep knees below your pelvis at all times, back straight.
  3. Keep active, walk as much as possible.

How is Occipito posterior position diagnosed?

Fetal head position during the entire labor. Diagnosis made by transabdominal ultrasound during the first stage, by transperineal ultrasound during the second stage, by clinical assessment at time of delivery.

Is posterior position good for delivery?

Occiput Posterior (OP) It is safe to deliver a baby facing this way. But it is harder for the baby to get through the pelvis. If a baby is in this position, sometimes it will rotate around during labor so that the head stays down and the body faces the mother’s back (OA position).

What causes a baby to be posterior?

If your baby stays in a posterior position when labor starts, it may be because of the shape of your pelvis rather than your posture. In some cases, a cesarean delivery will be necessary.

Can a baby change from posterior to anterior?

Most posterior babies, up to 95 per cent, turn to an anterior position during labour.

Where do you feel kicks with a posterior baby?

Posterior baby: You’ll probably feel more kicks on the front of your tummy, your belly-button might dip and the tummy area feel more squashy. When the baby is in a posterior position, labour can be longer, more painful and is more likely to end with caesarean or instrumental deliveries.

Where does the left occiput posterior position occur?

Left occiput posterior: LOP has the baby’s back facing the left side of the mother and back of the head towards the mother’s back (1). The baby could also be in a straight OP position: OP occurs due to certain physical and lifestyle reasons. [ Read: Stages Of Childbirth ]

Why is occiput posterior the most common fetal malposition?

Occiput posterior (OP) position is the most common fetal malposition. It is important because it is associated with labor abnormalities that may lead to adverse maternal and neonatal consequences.

Can a baby be born in the posterior position?

Here are the possibilities with posterior labor: Mostly, babies positioned occiput posterior before labor rotate to the occiput anterior (OA) position after the labor sets in. Some posterior babies may get delivered without any slowdown in the labor while some may take time but require no obstetric interventions.

What is the relationship between posterior position and perinatal outcomes?

The association between persistent fetal occiput posterior position and perinatal outcomes: an example of propensity score and covariate distance matching. Am J Epidemiol 2010; 171:656. Cheng YW, Shaffer BL, Caughey AB. The association between persistent occiput posterior position and neonatal outcomes.