Rebozo and Maternal Procedures to Reduce Persistent Occiput Posterior Position of the Fetal Head

The goal of this clinical trial is to assess whether a combination of forward-leaning inversion and side-lying release procedures and Rebozo technique in a pre-specified sequence during the first stage of labor among women with a posterior fetus would favor anterior rotation. The main questions it aims to answer is: • What is the probability of persistent occiput posterior position of the fetal head three hours and thirty minutes after randomization, diagnosed by sonography? Researchers will compare the intervention group, which received a sequence of forward-leaning inversion (FLI), side-lying release procedures (SLR), and the Rebozo technique (lasting 90-105 minutes), to the control group, which received standard care (free maternal postures), to assess whether the specific combination of interventions in the experimental group reduces the probability of the fetal head remaining in the occiput posterior position. Participants in the intervention group will undergo a combination of forward-leaning inversion, side-lying release procedures, and the Rebozo technique, administered in a pre-determined sequence. In contrast, participants in the control group will receive standard care (free maternal postures).

NCT Number	NCT06887634
Lead Sponsor	University of Milano Bicocca Collaborators: Fondazione IRCCS San Gerardo dei Tintori
Conditions	Persistent Occiput Posterior Position During Labor
Enrollment	578 participants
Start Date	2025-09
Primary Completion	2026-10 (estimated)
Study Completion	2027-07 (estimated)
Updated on ClinicalTrials.gov	2025-09-05