Fetomaternal Outcome in Occipito Posterior Position

TITLE FETOMATERNAL OUTCOME IN OCCIPITO POSTERIOR POSITION. BACKGROUND& OBJECTIVES Occipito posterior is an abnormal position of vertex presentation. Its incidence is about 10 % of all vertex presentation and have highes chances of maternal and fetal morbidities. The present study is an attempt 1. To identify occipito posterior position in laboring patients who are admitted in dhiraj general hospital 2. To assess the maternal and fetal outcome in occipito posterior position. MATERIALS AND METHOD out of total 560 deliveries 72 patients had occipito posterior position. These patients were taken in the study their labour was monitored and maternal and fetal complications were noted. RESULTS Rates of c-section and assisted operative vaginal deliveries are high. most of the patients were primigravida. all patients were given episotomy in assisted operative vaginal delivery. CONCLUSION Occipito-posterior (OP) presentation is an abnormal position of vertex presentation. Chances of maternal and fetal morbidity are high. Rates of cesarean and assisted operative vaginal delivery are also high. Assisted operative vaginal delivery in Occiput posterior position increases the risk of 2nd and 3rd degree perineal tear. Maternal morbidity, though high, none were serious enough to result in any prolonged complication, with mortality rate being Nil. Peri-natal out come was quite satisfactory, with 100 % neonatal salvation. We wish to convey only one point, careful assessment,& vigilant intra-natal care certainly gives 100 % satisfactory outcome.