Details

Autor(en) / Beteiligte

• O'Brien, Stephen
• Jordan, Sharon
• Siassakos, Dimitrios

Titel

The role of manual rotation in avoiding and managing OVD

Ist Teil von

• Best practice & research. Clinical obstetrics & gynaecology, 2019-04, Vol.56, p.69-80

Ort / Verlag

Netherlands: Elsevier Ltd

Erscheinungsjahr

2019

Link zum Volltext

Quelle

Elsevier ScienceDirect Journals Complete

Beschreibungen/Notizen

• Manual rotation (MR) is the most common technique used by accoucheurs who wish to correct malposition of the foetal head to either avoid or facilitate an operative vaginal delivery (OVD). MR can be performed using either a whole-hand or a digital approach. MR should be formally taught and trainees should be assessed for competence, and later, performance should ideally be tracked with statistical control charts. There is paucity of robust evidence evaluating MR relative to the other methods of rotational OVD: rotational forceps (RF) and rotational ventouse (RV). Furthermore, there is little evidence concerning long-term maternal outcomes of rotational OVD. A prospective randomised trial of MR versus either RF or RV is clearly needed, along with a core outcome set for OVD to facilitate comprehensive evaluation programmes that focus on aspects pertaining to women. •Manual rotation can be performed with either the whole hand (manual) or fingers (digital).•No prospective, robust evidence is available to evaluate the efficacy of manual rotation relative to either rotational ventouse or rotational forceps.•A core outcome set should be developed for studies on operative vaginal delivery.