[Manual rotation of vertex presentations in posterior occipital-iliac or transverse position. Technique and value]
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B Haddad1, F Abirached, G Calvez
1Service de Gynécologie-Obstétrique.
Objective:
Evaluate of the usefulness of manual rotation of occipito-posterior or transverse presentation.
Design:
One year retrospective study (1991).
Setting:
Maternity hospital, Clinique Universitaire Baudelocque.
Subjects:
All patients during labour having a spontaneous (n = 160) or a manual rotation (n = 368) of an occipito-posterior or occipitotransverse presentation. The manual rotation could be indicated for a fetal distress, a protracted first stage of labour or prophylactically.
Intervention:
Manual rotation as described by Tarnier, was performed at least at 7 cm cervical dilatation.
Main Outcome Measures:
Success rate of manual rotation, cesarean section rate, maternal, fetal and neonatal complications.