{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T16:53:48Z","timestamp":1790528028273,"version":"4.1.0"},"reference-count":16,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,4,3]],"date-time":"2017-04-03T00:00:00Z","timestamp":1491177600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To evaluate whether sonographic (US) diagnosis of the fetal spine position could increase the success rate of manual rotation of the fetal occiput (MRFO) in second\u2010stage arrest in persistent occiput posterior position (OPP).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this randomized controlled parallel single\u2010center trial, 58 nulliparous in second\u2010stage arrest of labor with fetus in cephalic presentation and OPP diagnosed by US were randomly assigned to group A where the fetal spine position was not known by the operator or to group B where the operator knew it. The main outcome was the success of MRFO in the two groups. Secondary outcomes were perineal injuries, blood loss, duration of expulsive period, and neonatal APGAR at 5 minutes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A priori knowledge of the spine position improves the success of the MRFO (41.4% group A versus 82.8% group B, <jats:italic>p<\/jats:italic> value &lt; 0.001), the percentage of spontaneous deliveries (27.6% group A versus 69% group B, <jats:italic>p<\/jats:italic> value = 0.01), and maternal outcome (intact perineum and blood loss). No differences were detected on the neonatal side.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>MRFO is a safe and useful procedure that should be performed in second\u2010stage arrest in OPP. A better performance was observed when supported by the US knowledge of the spine position. \u00a9 2017 Wiley Periodicals, Inc. <jats:italic>J Clin Ultrasound<\/jats:italic> <jats:bold>45<\/jats:bold>:472\u2013476, 2017<\/jats:p><\/jats:sec>","DOI":"10.1002\/jcu.22477","type":"journal-article","created":{"date-parts":[[2017,4,5]],"date-time":"2017-04-05T11:20:45Z","timestamp":1491391245000},"page":"472-476","source":"Crossref","is-referenced-by-count":23,"title":["Sonographic evaluation of the fetal spine position and success rate of manual rotation of the fetus in occiput posterior position: A randomized controlled trial"],"prefix":"10.1002","volume":"45","author":[{"given":"Bianca","family":"Masturzo","sequence":"first","affiliation":[{"name":"Department of Surgical Sciences Sant'Anna Hospital, University of Turin Via Ventimiglia 3 10126 Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Farina","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery (DIMEC) Division of Prenatal Medicine, Sant'Orsola Malpighi Hospital; University of Bologna Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3710-1166","authenticated-orcid":false,"given":"Lorenza","family":"Attamante","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences Sant'Anna Hospital, University of Turin Via Ventimiglia 3 10126 Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annalisa","family":"Piazzese","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences Sant'Anna Hospital, University of Turin Via Ventimiglia 3 10126 Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Rolfo","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences Sant'Anna Hospital, University of Turin Via Ventimiglia 3 10126 Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pietro","family":"Gaglioti","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences Sant'Anna Hospital, University of Turin Via Ventimiglia 3 10126 Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tullia","family":"Todros","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences Sant'Anna Hospital, University of Turin Via Ventimiglia 3 10126 Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,4,3]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12192"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2012.01458.x"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000647"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318169ce03"},{"issue":"12","key":"e_1_2_5_6_1","article-title":"Epidural versus non\u2010epidural or no analgesia in labour","author":"Anim\u2010Somuah M","year":"2011","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767051003710276"},{"key":"e_1_2_5_8_1","doi-asserted-by":"crossref","first-page":"783598","DOI":"10.1155\/2014\/783598","article-title":"Intrapartum ultrasound assessment of fetal spine position","volume":"2014","author":"Gizzo S","year":"2014","journal-title":"Biomed Res Int"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2013.08.021"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2015.1092137"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2006.01.029"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2011.06.043"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000444441.04111.1d"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000281666.04924.be"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2006.12.025"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.7504"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-015-0603-7"}],"container-title":["Journal of Clinical Ultrasound"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjcu.22477","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jcu.22477","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T07:02:43Z","timestamp":1696402963000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jcu.22477"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,4,3]]},"references-count":16,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2017,10]]}},"alternative-id":["10.1002\/jcu.22477"],"URL":"https:\/\/doi.org\/10.1002\/jcu.22477","archive":["Portico"],"relation":{},"ISSN":["0091-2751","1097-0096"],"issn-type":[{"value":"0091-2751","type":"print"},{"value":"1097-0096","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,4,3]]}}}