Effect of Knee–Chest Position and Rebozo (Pelvic Relaxation) Maneuver on Rotation of Occiput Posterior Presentation and Maternal–Fetal Outcomes: A Randomized Controlled Trial

This randomized controlled trial aims to evaluate the effect of knee to chest position and rebozo pelvic relaxation maneuver on rotation of occiput posterior presentation and maternal fetal outcomes during labour. Persistent occiput posterior position is associated with prolonged labour increased operative delivery maternal exhaustion and neonatal complications. This study will include 128 pregnant women with confirmed occiput posterior position in active labour. Participants will be randomly allocated iinto interventiongroup and control group. The intervention group will receive knee to chest position along with rebozo maneuver during first stage of labour while the control group will receive routine labour care. Primary outcome is rate of rotation from occiput posterior to occiput anterior and mode of delivery. Secondary outcomes include duration of labour maternal satisfaction perineal trauma and neonatal outcomes. The study aims to promote non invasive cost effective and midwife friendly techniques to improve maternal and fetal outcomes.