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Active Management of Labour and Occipito‐Posterior Position
Author(s) -
O'Driscoll Kieran,
Stronge John M.
Publication year - 1975
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1975.tb00859.x
Subject(s) - position (finance) , occiput , clinical significance , medicine , clinical practice , orthodontics , surgery , physical therapy , economics , finance
Summary: A reappraisal of the clinical significance of the occipito‐posterior position is needed in the altered circumstances which derive from a policy of active management of labour. In a series of 1,000 consecutive primigravidae, the occiput was posterior at the time of delivery on 38 occasions. This had an adverse effect on the conduct of labour in approximately 3 cases (0.3%). It is concluded that the occipito‐posterior position has been reduced to a low level of clinical significance in current practice.