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January 29, 1949


JAMA. 1949;139(5):280-285. doi:10.1001/jama.1949.02900220006002

In the past twenty years, the literature on the management of the occiput posterior position has been voluminous and varied. The problem is still worthy of study, as any one practicing clinical obstetrics will agree. This presentation is based on private patients personally delivered by me for the years 1942-1947 inclusive and cared for in three Indianapolis hospitals, namely, St. Vincent's Hospital, Methodist Hospital and the Coleman Hospital of the Indiana University Medical Center.

All posterior positions may be divided into three groups as far as management is concerned: First, the largest group, constituting about 70 per cent of the total, in which rotation will occur spontaneously after engagement, with comparative ease in delivery, either spontaneously or with low or mid forceps. The only problem associated with this group is that of making it as large as possible by conservative handling of the entire group. Secondly, there is a small

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