Rebozo and Maternal Procedures to Reduce Persistent Occiput Posterior Position of the Fetal Head

Launched by UNIVERSITY OF MILANO BICOCCA · Mar 14, 2025

Keywords

ClinConnect Summary

This clinical trial is studying a specific approach to help women in labor whose babies are positioned in a way that can make delivery more challenging, known as the persistent occiput posterior position. The main goal is to see if a combination of techniques—called forward-leaning inversion, side-lying release, and the Rebozo technique—can help the baby turn to a more favorable position. Researchers will compare the outcomes of women who receive this combination of techniques with those who receive standard care, which allows them to move freely during labor.

To be eligible for this trial, participants need to be women in labor who are between 3 and 8 centimeters dilated and have a single baby due for delivery (at least 37 weeks along) that is confirmed to be in the posterior position. Women with certain health conditions or complications will not be able to participate. Those who join the trial can expect to undergo the combined techniques for about 90 to 105 minutes, and their progress will be monitored to see if the baby's position improves within a set timeframe. This study aims to find a better way to assist women in labor when their babies are in a less favorable position, ultimately improving the birth experience.

Gender

FEMALE

Eligibility criteria

• Inclusion Criteria:
• • woman in labor between 3 and 8 cm of cervical dilation
• • woman with a singleton term fetus (≥37 0/7 weeks of gestation) in an Occiput Posterior Persistent Position clinically diagnosed and confirmed by transabdominal sonography
• Exclusion Criteria:
• • Women with growth restricted fetuses according to the Delphi's consensus
• • Fetuses with congenital anomalies or infections or with chromosomal abnormalities
• • Intrauterine fetal demise
• • Fetal and/or maternal conditions requiring urgent or emergent delivery or impeding the use of FLI and SLR and/or the Rebozo technique (non-reassuring fetal heart rate, abnormal vaginal bleeding, immobilizing epidural analgesia, polyhydramnios, extrapelvic fetal head, body mass index ≥35 Kg/m2, hypertensive disorders of pregnancy with inadequate control of blood pressure, maternal heart disease in class III to V according to the modified World Health Organization, glaucoma or ocular surgery, esophageal reflux disease, hypermobile sacro-ileac joint, and severe symphysis dysfunction)