We read with interest the recently published randomized controlled trial (RCT) by
Phipps et al
1
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.To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to American Journal of Obstetrics & Gynecology MFMAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Persistent occiput posterior position outcomes following manual rotation: a randomized controlled trial.Am J Obstet Gynecol MFM. 2021; 3100306
- Investigation of occiput posterior delivery by intrapartum sonography.Ultrasound Obstet Gynecol. 2004; 24: 425-428
- ISUOG Practice Guidelines: intrapartum ultrasound.Ultrasound Obstet Gynecol. 2018; 52: 128-139
- Influence of ultrasound determination of fetal head position on mode of delivery: a pragmatic randomized trial.Ultrasound Obstet Gynecol. 2015; 46: 520-525
Article info
Publication history
Published online: May 05, 2021
Accepted:
March 30,
2021
Received:
March 24,
2021
Footnotes
The authors report no conflict of interest.
Identification
Copyright
© 2021 Elsevier Inc. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Persistent Occiput Posterior position–OUTcomes following manual rotation (the POP-OUT trial): a randomized controlled clinical trialAmerican Journal of Obstetrics & Gynecology MFMVol. 3Issue 6
