Rebozo Technique for Fetal Malposition in Labor

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 po...

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Published inJournal of midwifery & women's health Vol. 60; no. 4; pp. 445 - 451
Main Authors Cohen, Susanna R., Thomas, Celeste R.
Format Journal Article
LanguageEnglish
Published United States Blackwell Publishing Ltd 01.07.2015
Wiley Subscription Services, Inc
Subjects
Adaptation
Childbirth & labor
Delivery, Obstetric
Evidence-based medicine
Female
fetal malposition
Fetus
Fetuses
first stage of labor
Humans
intrapartum care
Labor Presentation
Massage
Mexico
Morbidity
Musculoskeletal Manipulations - methods
Nursing
Obstetric Labor Complications - therapy
occiput posterior position
Pelvis
Pregnancy
rebozo
traditional birth attendants
fetal malposition
rebozo
occiput posterior position
traditional birth attendants
intrapartum care
first stage of labor
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Summary: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.
Bibliography:istex:E98429E53EC5FD10CF44DF0B4F0BCB44A387CFA9
Appendix S1: Video of one provider performing the rebozo technique with the woman lying on her back Appendix S2: Video of 2 providers performing the rebozo technique with the woman lying on her back Appendix S3: Video of the provider demonstrating correct placement of the rebozo technique for a woman in the hands-and-knees position Appendix S4: Video of one provider performing the rebozo technique with the woman in the hands-and-knees position Appendix S5: Video of one provider performing the rebozo technique with the woman in the standing position Appendix S6: Video of one provider performing the rebozo technique with the woman in child's pose
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ArticleID:JMWH12352
ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
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ISSN:1526-9523
1542-2011
DOI:10.1111/jmwh.12352