What is direct Occipito posterior position?

What is direct Occipito posterior position?

In occiput posterior position, your baby’s head is down, but it is facing the mother’s front instead of her back. It is safe to deliver a baby facing this way. But it is harder for the baby to get through the pelvis.

What are the outcomes of occipito posterior position?

The primary outcome will be operative delivery (defined as vacuum, forceps and/or caesarean section deliveries). Secondary outcomes will be caesarean section, significant maternal mortality/morbidity and significant perinatal mortality/morbidity.

What is OPP in obstetrics?

Abstract. Background: Issues in the management of the occipito posterior (OP) position have been the subject of clinical controversy over decades. Manual rotation has the potential to reduce operative delivery for fetal malposition.

What is the engaging diameter in Occipito posterior position?

(B) Left occipitoposterior position. diameter, the occipitofrontal (11.5cm), is unlikely to enter the pelvic brim until labour begins and flexion occurs. The occiput and sinciput are on the same level (Figs 31.3, 31.4). Flexion allows the engagement of the suboccipitofrontal diameter (10cm).

Is occiput anterior position normal?

These anterior presentations (ROA and LOA) are normal and usually are the easiest way for the fetus to traverse the birth canal. This LOT (Left, Occiput, Transverse) position and its’ mirror image, ROT, are common in early labor.

Does occiput posterior position in the second stage of Labour increase the operative delivery rate?

Conclusions: Occiput-posterior position early in the second stage of labour is strongly associated with operative delivery. There is potential to explore interventions such as manual rotation.

How can we stop occiput posterior?

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.

What is Occipito lateral position?

Occiput transverse (OT) position is a type of fetal cephalic malposition in which the sagittal suture and fontanels align 0 to <15 degrees from the transverse plane of the maternal pelvis (figure 1).

What is occiput presentation?

In occiput posterior presentation (also called sunny-side up), the fetus is head first but is facing up (toward the mother’s abdomen). It is the most common abnormal position or presentation.

What is Malpresentation and malposition?

Description. fetal malpresentation occurs when the part of the fetus which is closest to the pelvic inlet is not the vertex of the fetal head, whereas fetal malposition occurs when the occiput of fetuses who are in vertex presentation is rotated so that it is not oriented anteriorly in the maternal pelvis.

What does posterior position mean?

Posterior means towards the back and would indicate the opposite end from anterior. However, both anterior and posterior are relative terms. A point can be anterior to another point behind it yet posterior to a point ahead of it.

What is occiput posterior presentation?

In occiput posterior presentation (also called sunny-side up), the fetus is head first but is facing up (toward the mother’s abdomen). It is the most common abnormal position or presentation. When a fetus faces up, the neck is often straightened rather than bent, and the head requires more space to pass through the birth canal.

What is posterior occipital area?

The occipital lobe encompasses the posterior portion of the human cerebral cortex and is primarily responsible for vision. The surface area of the human occipital lobe is approximately 12% of the total surface area of the neocortex of the brain. Direct electrical stimulation of the occipital lobe produces visual sensations.