Manual Rotation Maneuvers for Persistent OP Position

Imagine, as a midwife, being called to the home of a client who has been in labor for two days. The mother’s contraction pattern is erratic and the pain she is experiencing is severe and primarily in her back. She is exhausted from lack of sleep, and her labor pain is more intense than the intensity of her contractions would indicate. This woman is 5 cm dilated and not sure she can “do this anymore.”

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About Author: Katherine Bramhall

Katherine Bramhall is a student midwife in her last semester of preceptorship at Birthwise Midwifery School in Bridgton, Maine. She has two grown daughters and, until entering midwifery school, worked as a holistic health practitioner and labor assistant in Boston for 20 years.

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