Neonatal complications: Apgar score of <5 at 10 minutes | Arterial umbilical pH of <7.10 | Neonatal injuries | NICU
Intervention group: 126 women | standard group: 131 women
Mean age: 30.4 years
Mean gestational age: 40.1 weeks
Operative delivery was significantly less frequent in the intervention group
Differential between the 2 groups: −11.8 (95% CI, −15.7 to −7.9); P=0.047
Unadjusted odds ratio: 0.593 (95% CI, 0.353 to 0.995)
Women in the intervention group were more likely to have a significantly shorter second stage of labor
Intervention: 146.7±64.4 min
Standard: 164.4±58.2 min
18 minute differential
No significant differences were found between other secondary outcomes
Early second stage trial of prophylactic manual rotation for women with pregnancies in the occiput posterior and occiput transverse positions was associated with significantly reduced risk for operative delivery
The authors state
These findings supported that the prophylactic manual rotation should be considered as an effective and safe procedure to deal with OP or OT positions of the fetal head
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