Jury still out on manual rotation for occiput transverse fetuses

The world's first randomised controlled trial on the subject had to be abandoned, the Australian researchers report
Clare Pain
woman in labour with healthcare worker

Results from the first trial to examine whether manual rotation reduces the need for operative delivery in women with a fetus in the occiput transverse (OT) position show no benefit over a sham procedure.

But recruitment for the trial was slow, and then funding ran out, with the result that only 160 women took part rather than the 400 specified in the trial protocol, reported the researchers led by obstetrician Dr Bradley De Vries, of the University of Sydney and Royal Prince Alfred Hospital.