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J Midwifery Womens Health. 2015 Jul-Aug;60(4):445-51. doi: 10.1111/jmwh.12352.

Rebozo Technique for Fetal Malposition in Labor.

Abstract

Fetal occiput posterior position is associated with increased maternal and fetal morbidities. Currently, clinicians have limited evidence-based techniques or tools to remedy fetal occiput posterior position. The traditional Mexican rebozo technique of pelvic massage, sifting, or jiggling offers a potentially valuable tool to help correct fetal malposition. This article reviews the adaptation of 3 rebozo techniques that can be used in labor to encourage optimum fetal positioning; outlines hospital considerations for safety, fetal heart rate monitoring, and universal precautions; and reviews the implementation plan to introduce and sustain use of the rebozo in a large academic medical center.

KEYWORDS:

fetal malposition; first stage of labor; intrapartum care; occiput posterior position; rebozo; traditional birth attendants

PMID:
26255805
DOI:
10.1111/jmwh.12352
[Indexed for MEDLINE]

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