There is a low intervention alternative to encouraging babies to turn when they are posterior or ROA in labour - Rotational Positioning. It does not involve any manual manipulation, vaginal examinations or any other intervention and it is successful. Unfortunately no controlled trials, only anecdotal evidence but so far proving to be extremely effective when done. Reduces intervention rates significantly, turns babies alot quicker than any other technique and focuses ont he mother and baby dyad.

Nikki Macfarlane
Childbirth International
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