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The Role of Intrapartum Sonography in Persistent Occiput Posterior Position and Prolonged Labor

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Intrapartum Ultrasonography for Labor Management

Abstract

Persistent occiput posterior in prolonged second stage of labor represents an important clinical challenge. Fetuses in occiput posterior position are associated with increases in perinatal complications such as cesarean delivery, failure of operative vaginal delivery, neonatal acidemia, and neonatal intensive care admission. The use of intrapartum ultrasound to asses fetal position and to predict and aid in decision-making regarding successful spontaneous vaginal or operative vaginal deliveries can aid in safe management decisions. Ultrasound can also be used for assistance in both manual rotation and also in guidance prior to forces rotation.

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Author information

Authors and Affiliations

  1. Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, George Washington University School of Medicine and Health Sciences, Washington, DC, USA

    Alexis C. Gimovsky

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  1. Alexis C. Gimovsky
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Editors and Affiliations

  1. Department of Obstetric and Gynecology, Santa Maria Hospital, GVM Care and Research, Bari, Italy

    Antonio Malvasi

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Gimovsky, A.C. (2021). The Role of Intrapartum Sonography in Persistent Occiput Posterior Position and Prolonged Labor. In: Malvasi, A. (eds) Intrapartum Ultrasonography for Labor Management. Springer, Cham. https://doi.org/10.1007/978-3-030-57595-3_16

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  • DOI: https://doi.org/10.1007/978-3-030-57595-3_16

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-57594-6

  • Online ISBN: 978-3-030-57595-3

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