Fetal Malposition: Impact and Management

Aaron B. Caughey, Rita Sharshiner, Yvonne W. Cheng

Research output: Contribution to journalArticlepeer-review

22 Scopus citations


Fetal malposition, either occiput posterior or transverse (OT), leads to greater risk of cesarean delivery, prolonged labor, and increased perinatal morbidity. Historically, there is a known association between epidural use and malposition that was assumed to be due to the increased discomfort of laboring with a fetus in the occiput posterior position. However, evidence now suggests that the epidural itself may contribute to fetal malposition by impacting the probability of internal rotation. Fetal malposition may be impacted by manual rotation. Manual rotation has been associated with greater rates of delivering in the occiput anterior position and lower rates of cesarean delivery.

Original languageEnglish (US)
Pages (from-to)241-245
Number of pages5
JournalClinical obstetrics and gynecology
Issue number2
StatePublished - Dec 1 2015


  • Fetal malposition
  • cesarean
  • manual rotation
  • occiput posterior

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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