The occiput posterior position otherwise known as the OP position is important to familiarize yourself with because it is the most common fetal malposition in labor. It can be associated with assisted vaginal delivery (aka operative vaginal delivery) and even cesarean delivery.
This position is often called the sunny side up portion in labor and has been the bain of midwives, doulas and pregnant people for centuries. When a patient is in labor and about to give birth and a baby has assumed this position, it is very commonly associated with back labor.
In this episode, we review the OP position, why it should and should not happen and what can be done about it.
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