What are the complications of Occipito posterior position?
Complications of the occiput posterior position The OP position is associated with more frequent induction and augmentation of labour and prolonged first and second stage of [3,17,18,21], chorioamnionitis, post-partum haemorrhage, third and fourth degree perineal tears, wound infection and endometritis [22,23].
How is labor affected when the fetus is in an occiput posterior OP position?
Occiput Posterior (OP) If a baby is in this position, sometimes it will rotate around during labor so that the head stays down and the body faces the mother’s back (OA position). The mother can walk, rock, and try different delivery positions during labor to help encourage the baby to turn.
What happens when a baby faces the wrong way?
Malposition of vertex means that your baby’s head is facing toward your belly rather than your back. During normal labor your baby’s head should turn so that the face is toward your back. If the baby’s head does not turn, it makes it harder for your baby to get through the birth canal, and labor can take longer.
Which presentations Cannot deliver vaginally?
Vaginal delivery of face presentation is contraindicated if the mentum is lying posteriorly or is in a transverse position. In such a scenario, the fetal brow is pressing against the maternal symphysis pubis, and the short fetal neck, which is already maximally extended, cannot span the surface of the maternal sacrum.
What is a complication of a precipitous delivery?
Physically, precipitous labor can cause: Increased risk of hemorrhage. Increased risk of vaginal and/or cervical tearing or laceration. Risk of infection in baby or mother if birth takes place in an unsterilized environment.
Is occiput posterior position normal?
Occiput posterior (OP) position is the most common fetal malposition. It is important because it is associated with labor abnormalities that may lead to adverse maternal and neonatal consequences, particularly operative vaginal delivery or cesarean delivery.
Can face presentation deliver vaginally?
Fetuses with face presentation can be delivered vaginally with overall success rates of 60-70%, while more than 20% of fetuses with face presentation require cesarean delivery. Cesarean delivery is performed for the usual obstetrical indications, including arrest of labor and nonreassuring fetal heart rate pattern.