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Manual rotation of persistent occiput posterior position: more research is warranted

      We read with interest the recently published randomized controlled trial (RCT) by Phipps et al
      • Phipps H
      • Hyett JA
      • Kuah S
      • et al.
      Persistent occiput posterior position outcomes following manual rotation: a randomized controlled trial.
      evaluating the role of manual rotation in the context of the persistent occiput posterior (MROP) position. Although a trend toward a reduction of instrumental deliveries was noted, the study showed that MROP does not reduce the frequency of obstetrical intervention and of maternal and perinatal morbidity. We congratulate the authors for their hard work in conducting the RCT and would like to comment on some methodological aspects that may have affected the study findings.
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      References

        • Phipps H
        • Hyett JA
        • Kuah S
        • et al.
        Persistent occiput posterior position outcomes following manual rotation: a randomized controlled trial.
        Am J Obstet Gynecol MFM. 2021; 3100306
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