Occipitoposterior positions

• Alternatively, clinicians may apply Kiellandforceps to the fetal head in the occiputtransverse position, rotate the occiput to theanterior position, and then deliver the headeither with the same forceps or withSimpson or Tucker–McLane forceps.• If failure of spontaneous rotation is causedby hypotonic uterine contractions withoutcephalopelvic disproportion, oxytocin maybe infused and closely monitored.