Approaches and opinions of treatment teams about the management of the second stage of labor

in the persistent occiput posterior position are different (Broberg JC., et al., 2021)

Broberg, J. C., & Caughey, A. B. (2021). A randomized controlled trial of prophylactic early

manual rotation of the occiput posterior fetus at the beginning of the second stage vs

expectant management. American Journal of Obstetrics & Gynecology MFM, 3(2),

100327. https://doi.org/10.1016/j.ajogmf.2021.100327

Blank et al. (2021) aimed to determine whether prophylactic rotation of persistent occiput
posterior in beginning the second stage of labor reduces the chance of instrumental delivery and
showed that instrumental delivery and the length of the second stage of labor were significantly
less in the intervention group.

Blanc, J., Castel, P., Mauviel, F., Baumstarck, K., Bretelle, F., D’ercole, C., & Haumonté, J.

(2021). Prophylactic manual rotation of occiput posterior and transverse positions to

decrease operative delivery: the PROPOP randomized clinical trial. American Journal of

Obstetrics and Gynecology, 225(4), 444.e1-444.e8.

https://doi.org/10.1016/j.ajog.2021.05.020