We would like to thank Dr Dall'Asta and Associate Professor Ghi for their interest in our study entitled, “Persistent occiput posterior position outcomes following manual rotation (POP-OUT trial),”
1and respond to their comments about its methodology.
- 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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- Persistent occiput posterior position outcomes following manual rotation: a randomized controlled trial.Am J Obstet Gynecol MFM. 2021; 3100306
- Influence of ultrasound determination of fetal head position on mode of delivery: a pragmatic randomized trial.Ultrasound Obstet Gynecol. 2015; 46: 520-525
- Prophylactic manual rotation of persistent occiput posterior to decrease operative delivery: a multicentric randomized trial.Am J Obstet Gynecol. 2021; ([Epub ahead of print])
Published online: April 30, 2021
Accepted: April 19, 2021
Received: April 13, 2021
The authors report no conflict of interest.
© 2021 Published by Elsevier Inc.
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- Manual rotation of persistent occiput posterior position: more research is warrantedAmerican Journal of Obstetrics & Gynecology MFMVol. 3Issue 6
- PreviewWe read with interest the recently published randomized controlled trial (RCT) by Phipps et al1 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.