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  • Title: [Clinical and sonographic diagnosis of occiput posterior position: a prospective study of 350 deliveries].
    Author: Hidar S, Choukou A, Jerbi M, Chaïeb A, Bibi M, Khaïri H.
    Journal: Gynecol Obstet Fertil; 2006 Jun; 34(6):484-8. PubMed ID: 16713321.
    Abstract:
    OBJECTIVE: To evaluate clinical reliability compared to intrapartum ultrasound as a tool to diagnose occiput posterior position and to investigate the proportion of rotations occurring during labour. PATIENTS AND METHODS: 350 women in labor with a singleton fetus in a vertex position were prospectively studied using ultrasound and obstetrical examination. Outcome of labor was also monitored. RESULTS: Reliability of clinical examination is 85,7%, initial occiput posterior position represented 40,2% and most rotated in an anterior position (84, 8%) while only 0,6% of initial anterior positions delivered in occiput posterior position. Logistic regression did not allow to find significant predictor of occiput posterior position rotation. DISCUSSION AND CONCLUSION: Clinical examination is relatively reliable for posterior position diagnosis and in most cases, initially occipitoposterior positions rotate anteriorly.
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