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Vaginal delivery from the persistent occiput posterior position. Influence on maternal and neonatal morbidity.

Publication ,  Journal Article
Pearl, ML; Roberts, JM; Laros, RK; Hurd, WW
Published in: J Reprod Med
December 1993

We performed a retrospective study of 564 vaginal occiput posterior (OP) deliveries to investigate the influence of this position on maternal and fetal morbidity. The cases were compared to 1,068 controls matched for race, parity and delivery method. The OP group had a higher incidence of severe perineal laceration and episiotomy than the occiput anterior (OA) group. Within the OP group, operative delivery was associated with a higher incidence of severe perineal laceration, vaginal laceration and episiotomy than was spontaneous delivery. Similarly, the OP group delivered by forceps had a higher incidence of severe perineal lacerations, vaginal lacerations and episiotomy than those delivered by vacuum extraction. Mediolateral episiotomy was associated with a lower incidence of severe perineal lacerations than median episiotomy during delivery from the OP position. The infants delivered from the OP position had a higher incidence of Erb's and facial nerve palsy than did those delivered from the OA position. All these injuries occurred following forceps delivery. Vaginal delivery from the persistent OP position is associated with increased maternal morbidity, and operative vaginal delivery from this position is associated with increased neonatal morbidity.

Duke Scholars

Published In

J Reprod Med

ISSN

0024-7758

Publication Date

December 1993

Volume

38

Issue

12

Start / End Page

955 / 961

Location

United States

Related Subject Headings

  • Time Factors
  • Retrospective Studies
  • Pregnancy
  • Obstetrics & Reproductive Medicine
  • Length of Stay
  • Labor Stage, Second
  • Labor Presentation
  • Infant, Newborn, Diseases
  • Infant, Newborn
  • Humans
 

Citation

APA
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ICMJE
MLA
NLM
Pearl, M. L., Roberts, J. M., Laros, R. K., & Hurd, W. W. (1993). Vaginal delivery from the persistent occiput posterior position. Influence on maternal and neonatal morbidity. J Reprod Med, 38(12), 955–961.
Pearl, M. L., J. M. Roberts, R. K. Laros, and W. W. Hurd. “Vaginal delivery from the persistent occiput posterior position. Influence on maternal and neonatal morbidity.J Reprod Med 38, no. 12 (December 1993): 955–61.
Pearl ML, Roberts JM, Laros RK, Hurd WW. Vaginal delivery from the persistent occiput posterior position. Influence on maternal and neonatal morbidity. J Reprod Med. 1993 Dec;38(12):955–61.
Pearl, M. L., et al. “Vaginal delivery from the persistent occiput posterior position. Influence on maternal and neonatal morbidity.J Reprod Med, vol. 38, no. 12, Dec. 1993, pp. 955–61.
Pearl ML, Roberts JM, Laros RK, Hurd WW. Vaginal delivery from the persistent occiput posterior position. Influence on maternal and neonatal morbidity. J Reprod Med. 1993 Dec;38(12):955–961.

Published In

J Reprod Med

ISSN

0024-7758

Publication Date

December 1993

Volume

38

Issue

12

Start / End Page

955 / 961

Location

United States

Related Subject Headings

  • Time Factors
  • Retrospective Studies
  • Pregnancy
  • Obstetrics & Reproductive Medicine
  • Length of Stay
  • Labor Stage, Second
  • Labor Presentation
  • Infant, Newborn, Diseases
  • Infant, Newborn
  • Humans