Q: What laboring positions are most effective in turning a posterior baby anterior? We currently use far left or lateral, upper LE on over bed table, and "frog" position. I have also seen hands on knees used.
A: What does the evidence say?
There are many beliefs regarding the best way to position a laboring woman to turn an OP baby to the occiput anterior (OA) position. A review of the literature notes conflicting evidence for the hands and knees position (Kariminia et al., 2004) (Stremler et al., 2005). There is not enough evidence at this time to confirm if all other positions (left lateral, right lateral or frog position) assist with rotating the baby from OP to OA position (Simkin, 2010). The evidence does show that the hands and knees position reduces back pain during labor (Hunter et al., 2007). None of the aforementioned positions have been shown to be harmful. At this time, the evidence in conflicting or there is not enough evidence to say one position is better than another to rotate an OP baby.