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PLOS ONE 2013

Instrumental Rotation for Persistent Fetal Occiput Posterior Position: A Way to Decrease Maternal and Neonatal Injury?

DOI: 10.1371/journal.pone.0078124

Fabien Vidal, Caroline Simon, Christelle Cristini, Catherine Arnaud, Olivier Parant

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Abstract:

Objective To evaluate immediate perineal and neonatal morbidity associated with instrumental rotations performed with Thierry’s spatulas for the management of persistent posterior occiput (OP) positions. Methods Retrospective study including all persistent occiput posterior positions with vaginal OP delivery, from August 2006 to September 2007. Occiput anterior deliveries following successful instrumental rotation were included as well. We compared maternal and neonatal immediate outcomes between spontaneous deliveries, rotational and non rotational assisted deliveries, using χ2 and Anova tests. Results 157 patients were enrolled, comprising 46 OP spontaneous deliveries, 58 assisted OP deliveries and 53 deliveries after rotational procedure. Instrumental rotation failed in 9 cases. Mean age and parity were significantly higher in the spontaneous delivery group, while labor duration was shorter. There were no significant differences in the rate of severe perineal tears and neonatal adverse outcomes between the 3 groups. Conclusion Instrumental rotation using Thierry’s spatulas was not associated with a reduced risk of maternal and neonatal morbidity for persistent OP deliveries. Further studies are required to define the true interest of such procedure in modern obstetrics.

References

[1]	Cheng YW, Shaffer BL, Caughey AB (2006) The association between persistent occiput posterior position and neonatal outcomes. Obstet Gynecol 107: 837-844. doi:10.1097/01.AOG.0000206217.07883.a2. PubMed: 16582120.
[2]	Yancey MK, Zhang J, Schweitzer DL, Schwarz J, Klebanoff MA (2001) Epidural analgesia and fetal head malposition at vaginal delivery. Obstet Gynecol 97: 608-612. doi:10.1016/S0029-7844(00)01230-8. PubMed: 11275036.
[3]	Akmal S, Tsoi E, Howard R, Osei E, Nicolaides KH (2004) Investigation of occiput posterior delivery by intrapartum sonography. Ultrasound Obstet Gynecol 24: 425-428. doi:10.1002/uog.1064. PubMed: 15343598.
[4]	Gardberg M, Laakkonen E, S？levaara M (1998) Intrapartum sonography and persistent occiput posterior position: a study of 408 deliveries. Obstet Gynecol 91: 746-749. doi:10.1016/S0029-7844(98)00074-X. PubMed: 9572223.
[5]	Benavides L, Wu JM, Hundley AF, Ivester TS, Visco AG (2005) The impact of occiput posterior fetal head position on the risk of anal sphincter injury in forceps-assisted vaginal deliveries. Am J Obstet Gynecol 192: 1702-1706. doi:10.1016/j.ajog.2004.11.047. PubMed: 15902181.
[6]	Wu X, Fan L, Wang Q (2001) [Correction of occipito-posterior by maternal postures during the process of labor]. Zhonghua Fu Chan Ke Za Zhi 36: 468-469. PubMed: 11758180.
[7]	(2008) [Instrumental extractions. Guidelines]. J Gynecol Obstet Biol Reprod (Paris) 37 Suppl 8: S297-S300. doi:10.1016/S0368-2315(08)74767-7.
[8]	Shaffer BL, Cheng YW, Vargas JE, Caughey AB (2010) Manual rotation to reduce caesarean delivery in persistent occiput posterior or transverse position. J Matern Fetal Neonatal Med.
[9]	Jain V, Guleria K, Gopalan S, Narang A (1993) Mode of delivery in deep transverse arrest. Int J Gynecol Obstet 43: 129-135. doi:10.1016/0020-7292(93)90319-R. PubMed: 7905427.
[10]	Menticoglou SM, Perlman M, Manning FA (1995) High cervical spinal cord injury in neonates delivered with forceps: report of 15 cases. Obstet Gynecol 86: 589-594. doi:10.1016/S0029-7844(95)80022-0. PubMed: 7675385.
[11]	Ramin SM, Little BB, Gilstrap LC 3rd (1993) Survey of forceps delivery in North America in 1990. Obstet Gynecol 81: 307-311. PubMed: 8423970.
[12]	Feldman DM, Borgida AF, Sauer F, Rodis JF (1999) Rotational versus nonrotational forceps: maternal and neonatal outcomes. Am J Obstet Gynecol 181: 1185-1187. doi:10.1016/S0002-9378(99)70105-5. PubMed: 10561642.
[13]	Courtois L, Becher P, Maticot-Baptista D, Cour A, Zurlinden B et al. (2008) [Instrumental extractions using Thierry's spatulas: evaluation of the risk of perineal laceration according to occiput position in operative deliveries]. J Gynecol Obstet Biol Reprod (Paris) 37: 276-282. doi:10.1016/j.jgyn.2007.10.006.
[14]	Parant O, Simon-Toulza C, Capdet J, Fuzier V, Arnaud C et al. (2009) [Immediate fetal-maternal morbidity of first instrumental vaginal delivery using Thierry's spatulas. A prospective continuous study of 195 fetal extractions]. Gynecol Obstet Fertil 37: 780-786. doi:10.1016/j.gyobfe.2009.07.010. PubMed: 19766049.
[15]	Vanlieferinghen S, Girard G, Mandelbrot L (2009) [A comparison of maternal and fetal complications during operative vaginal delivery using Thierry's spatulas and the vacuum extractor]. J Gynecol Obstet Biol Reprod (Paris) 38: 648-654. doi:10.1016/j.jgyn.2009.09.015.
[16]	Maisonnette-Escot Y, Riethmuller D, Chevriere S, Becher P, Floret N, et al. (2005) [Thierry's spatula instrumental extraction: a study of foetal-maternal morbidity]. Gynecol Obstet Fertil 33: 208-212.
[17]	Guyomar J (1965) [Obstetrical value of Thierry's spatules. Results of 1,000 applications]. Rev Fr Gynecol Obstet 60: 775-783. PubMed: 5852936.
[18]	Murphy DJ, Macleod M, Bahl R, Goyder K, Howarth L et al. (2008) A randomised controlled trial of routine versus restrictive use of episiotomy at operative vaginal delivery: a multicentre pilot study. BJOG 115: 1693-1702; discussion:
[19]	Macleod M, Strachan B, Bahl R, Howarth L, Goyder K et al. (2008) A prospective cohort study of maternal and neonatal morbidity in relation to use of episiotomy at operative vaginal delivery. BJOG 115: 1688-1694. doi:10.1111/j.1471-0528.2008.01961.x. PubMed: 19035943.
[20]	CNGOF (2006) [Episiotomy: recommendations of the CNGOF for clinical practice (December 2005)]. Gynecol Obstet Fertil 34: 275-279. doi:10.1016/j.gyobfe.2006.01.033. PubMed: 16622908.
[21]	Macleod M, Murphy DJ (2008) Operative vaginal delivery and the use of episiotomy--a survey of practice in the United Kingdom and Ireland. Eur J Obstet Gynecol Reprod Biol 136: 178-183. doi:10.1016/j.ejogrb.2007.03.004. PubMed: 17459568.
[22]	Parant O, Simon C, Capdet J, Tanguy Le Gac Y, Reme JM (2007) [Can we still perform instrumental rotations using Thierry's spatula? Preliminary study among primiparous]. J Gynecol Obstet Biol Reprod (Paris) 36: 582-587. doi:10.1016/j.jgyn.2007.03.013.
[23]	(1994) Operative vaginal delivery. ACOG Technical. Bulletin Number 196-- August 1994 (replaces No. 152, February 1991). Int J Gynaecol Obstet 47: 179-185.
[24]	Hankins GD, Leicht T, Van Hook J, U？kan EM (1999) The role of forceps rotation in maternal and neonatal injury. Am J Obstet Gynecol 180: 231-234. doi:10.1016/S0002-9378(99)70180-8. PubMed: 9914609.
[25]	Vayssière C, Beucher G, Dupuis O, Feraud O, Simon-Toulza C et al. (2011) Instrumental delivery: clinical practice guidelines from the French College of Gynaecologists and Obstetricians. Eur J Obstet Gynecol Reprod Biol 159: 43-48. doi:10.1016/j.ejogrb.2011.06.043. PubMed: 21802193.
[26]	Baerthlein WC, Moodley S, Stinson SK (1986) Comparison of maternal and neonatal morbidity in midforceps delivery and midpelvis vacuum extraction. Obstet Gynecol 67: 594-597. PubMed: 3960431.
[27]	(2005) SOGC clinical practice guidelines. Guidelines for vaginal birth after previous caesarean birth. Number 155 (Replaces guideline Number 147), February 2005. Int J Gynecol Obstet 89: 319-331. doi:10.1016/j.ijgo.2005.03.015.
[28]	Al-Suhel R, Gill S, Robson S, Shadbolt B (2009) Kjelland's forceps in the new millennium. Maternal and neonatal outcomes of attempted rotational forceps delivery. Aust N Z J Obstet Gynaecol 49: 510-514. doi:10.1111/j.1479-828X.2009.01060.x. PubMed: 19780735.

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