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Rebozo Technique for Fetal Malposition in Labor
Author(s) -
Cohen Susanna R.,
Thomas Celeste R.
Publication year - 2015
Publication title -
journal of midwifery and women's health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.543
H-Index - 62
eISSN - 1542-2011
pISSN - 1526-9523
DOI - 10.1111/jmwh.12352
Subject(s) - medicine , fetal head , position (finance) , fetal position , occiput , fetal monitoring , fetus , fetal heart rate , obstetrics , surgery , pregnancy , heart rate , business , radiology , genetics , finance , blood pressure , biology
Fetal occiput posterior position is associated with increased maternal and fetal morbidities. Currently, clinicians have limited evidence‐based techniques or tools to remedy fetal occiput posterior position. The traditional Mexican rebozo technique of pelvic massage, sifting, or jiggling offers a potentially valuable tool to help correct fetal malposition. This article reviews the adaptation of 3 rebozo techniques that can be used in labor to encourage optimum fetal positioning; outlines hospital considerations for safety, fetal heart rate monitoring, and universal precautions; and reviews the implementation plan to introduce and sustain use of the rebozo in a large academic medical center.