title: Rebozo Technique for Fetal Malposition in Labor.
abstract: Fetal occiput posterior position is associated with increased maternal and fetal morbidities. Currently, clinicians have limited evidence-based techniques or tools to remedy fetal occiput posterior position. The traditional Mexican rebozo technique of pelvic massage, sifting, or jiggling offers a potentially valuable tool to help correct fetal malposition. This article reviews the adaptation of 3 rebozo techniques that can be used in labor to encourage optimum fetal positioning; outlines hospital considerations for safety, fetal heart rate monitoring, and universal precautions; and reviews the implementation plan to introduce and sustain use of the rebozo in a large academic medical center.
authors.forename: Susanna R
authors.initials: SR
authors.lastname: Cohen
authors.forename: Celeste R
authors.initials: CR
authors.lastname: Thomas
mesh_terms: D036861:Delivery, Obstetric; D005260:Female; D005333:Fetus; D006801:Humans; D007746:Labor Presentation; D008405:Massage; D008800:Mexico; D026201:Musculoskeletal Manipulations / Q000379:methods*; D007744:Obstetric Labor Complications / Q000628:therapy*; D010388:Pelvis; D011247:Pregnancy
keywords: fetal malposition; first stage of labor; intrapartum care; occiput posterior position; rebozo; traditional birth attendants