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Superiority multicenter prospective randomized study on operative delivery (instrumental delivery or caesarean section) of prophylactic manual rotation in case of persistent occipital posterior presentation during the second stage of labor compared to expectant management. A 15% reduction of operative delivery (instrumental delivery or caesarean section) is attempt in the prophylactic manual rotation group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| prophylactic manual rotation group | Experimental | During persistent occipital posterior presentation during the second stage of labor, prophylactic manual rotation will be performed. |
|
| No prophylactic manual rotation group | No Intervention | During persistent occipital posterior presentation during the second stage of labor, expectant management for delevery will be performed |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Prophylactic Manual Rotation of persistent occipital posterior presentation | Procedure | prophylactic manual rotation of persistent occipital posterior presentation on operative delivery will be performed in the experimental group |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients who will have a caesarean section or an instrumental delivery in each groups. | 4 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients with episiotomy, perineal lacerations from the 1st to the 4rth degree anglo-saxon classification | 4 hours | |
| Number of patients who will have bladder, urinary or bowel injuries during caesarean section | 5 hours maximum |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Julie Blanc, MD | Contact | julie.blanc@ap-hm.fr |
| Name | Affiliation | Role |
|---|---|---|
| Urielle Desalbres | Assistance Publique Hopitaux De Marseille | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Assistance Publique Hopitaux de Marseille | Recruiting | Marseille | 13354 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34033811 | Derived | Blanc J, Castel P, Mauviel F, Baumstarck K, Bretelle F, D'Ercole C, Haumonte JB. Prophylactic manual rotation of occiput posterior and transverse positions to decrease operative delivery: the PROPOP randomized clinical trial. Am J Obstet Gynecol. 2021 Oct;225(4):444.e1-444.e8. doi: 10.1016/j.ajog.2021.05.020. Epub 2021 May 24. |
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| Number of patients with post-partum hemorrhage defined by blood loss more than 500mL | 5 hours maximum |