Managing Complications in Pregnancy and Childbirth: - IAWG

C-64 Normal labour and childbirthDETERMINE THE POSITION OF THE FETAL HEAD• The fetal head normally engages in the maternal pelvis in anocciput transverse position, with the fetal occiput transverse in thematernal pelvis (Fig C-7).FIGURE C-7Occiput transverse positions• With descent, the fetal head rotates so that the fetal occiput isanterior in the maternal pelvis (occiput anterior positions, Fig C-8). Failure of an occiput transverse position to rotate to an occiputanterior position should be managed as an occiput posteriorposition (page S-75).FIGURE C-8Occiput anterior positions