{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T21:34:43Z","timestamp":1763156083738,"version":"3.40.5"},"reference-count":42,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,3,3]],"date-time":"2020-03-03T00:00:00Z","timestamp":1583193600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>A physiological breech birth is one in which the woman is encouraged to remain active throughout her labor and able to assume the position of her choice for the birth. Use of this strategy within the United Kingdom National Health Service has led to the use of innovative maneuvers to relieve obstruction when women give birth in upright positions, for example, kneeling or standing. This includes use of the face\u2010to\u2010pubes rotational maneuver to relieve extended nuchal arm(s). In this paper, we report a case where the face\u2010to\u2010pubes rotational maneuver was used to relieve bilateral nuchal arm entrapment in a breech birth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Single\u2010case study. We aimed to generate an in\u2010depth understanding of how this maneuver works and how professionals decide to use it by exploring its use in a real\u2010life context.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The face\u2010to\u2010pubes rotational maneuver appears to be an effective method of relieving nuchal arm entrapment when used by experienced hands. In cases of bilateral nuchal arm entrapment, elevation to a higher station may be necessary to dis\u2010impact the arms above the pelvic inlet before the fetus can be rotated. After face\u2010to\u2010pubes rotation and release of arms, the head should be realigned in an occiput anterior position for delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The face\u2010to\u2010pubes rotational maneuver can be taught for resolution of nuchal arms in an upright position. Parents should be informed of the availability or not of a specialist midwife trained in physiological breech birth, as this may be important to their decision\u2010making.<\/jats:p><\/jats:sec>","DOI":"10.1111\/birt.12486","type":"journal-article","created":{"date-parts":[[2020,3,4]],"date-time":"2020-03-04T05:39:11Z","timestamp":1583300351000},"page":"246-252","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Face\u2010to\u2010pubes rotational maneuver for bilateral nuchal arms in a vaginal breech birth, resolved in an upright maternal position: A case report"],"prefix":"10.1111","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3658-8988","authenticated-orcid":false,"given":"Shawn","family":"Walker","sequence":"first","affiliation":[{"name":"Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care King\u2019s College London London UK"},{"name":"Consultant Breech Specialist Midwife Women\u2019s and Children\u2019s Services St Thomas\u2019 Hospital London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6663-7093","authenticated-orcid":false,"given":"Emma","family":"Spillane","sequence":"additional","affiliation":[{"name":"Birth Centre Lead and Breech Specialist Midwife Maternity Services St George\u2019s University Hospitals NHS Foundation Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,3,3]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14465"},{"key":"e_1_2_6_3_1","unstructured":"NHSDigital.NHS maternity statistics 2018\u20132019.https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/nhs-maternity-statistics\/2018-19. 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