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Understanding Left Occipito Posterior Position

The left occipito-posterior position refers to a vertex presentation where the occiput is positioned over the left sacroiliac joint. The mechanism involves a series of movements including engagement, descent, flexion, internal and external rotations, and lateral flexion of the body during labor. This position is characterized by specific diameters and movements that facilitate the delivery process.

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Thangam jayarani
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48 views2 pages

Understanding Left Occipito Posterior Position

The left occipito-posterior position refers to a vertex presentation where the occiput is positioned over the left sacroiliac joint. The mechanism involves a series of movements including engagement, descent, flexion, internal and external rotations, and lateral flexion of the body during labor. This position is characterized by specific diameters and movements that facilitate the delivery process.

Uploaded by

Thangam jayarani
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd

LEFT OCCIPITO POSTERIOR POSITION

Definition
In a vertex presentation where the occiput is placed posteriorly over the
sacroiliac joint or directly over the sacrum, it is called an occipito-posterior
position. When the occiput is placed over the left sacroiliac joint, the position is
called left occipito-posterior position.

Mechanism of left occipito posterior


 Lie is longitudinal.
 Attitude of the head is deflexed.
 Presentation is vertex.
 Presenting part is the middle or anterior area of the right parietal bone
 Denominator is the occiput.
 Position is left occipito-posterior.

In favourable position (90%), the following movements take place,


1. Engagement
2. Descent
3. Flexion
4. Internal rotation of the head
5. Crowning
6. External rotation of the head
7. Restitution
8. Internal rotation of the head
9. External rotation of the head
10.Lateral flexion of the body

The occiput points to the left sacroiliac joint and the siniput to the right ilio-
pectineal eminence.
The head engages through the left oblique diameter in LOP.
1. Engagement
The engaging transverse diameter of the head is bi-parietal (9.5 cm) and
that of antero posterior diameter is either sub-occipito frontal (10 cm) or
occipito frontal (11.5 cm). Because of deflexion, engagement is delayed.
2. Descent
Descent is the continuous process throughout the labor.
3. Flexion
Good uterine contraction result in good flexion of the head. Descent
occurs until the head reaches the pelvic floor.
4. Internal rotation of the head
The head rotates 3/8th of the circle rotation and it comes under the
symphysis pubis. The neck cannot sustain such amount of torsion, so the
shoulder also rotates 2/8th of the circle and the shoulders lie in the oblique
diameter. Still 1/8th of the shoulder rotation is right behind (rest of the
mechanism is same as the occipito anterior position).
5. Crowning
The biparital diameter stretches the vulval outlet and after that the head
does not recede back into the pelvic outlet.
6. Extension of the head
The brow, face, chins sweeps the thinned out perineum and the head is
born by the movement of extension.
7. Restitution
The twist made in the internal rotation is now released by a untwist
movement.
8. Internal rotation of the rotation
The shoulder rotates 1/8th of the circle and it comes behind the symphysis
pubis.
9. External rotation of the head
The head rotates along with the internal rotation of the shoulders. The
face faces the right side of the maternal thigh.
10. Lateral flexion of the body
The anterior shoulder is delivered by posterior flexion and the posterior
shoulder is delivered by the anterior flexion and rest of the body is delivered by
lateral flexion.

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