Activity ID
13315Expires
May 23, 2027Format Type
EnduringCME Credit
0Fee
150CME Provider: Louisiana Medical Mutual Insurance Company (LAMMICO)
Description of CME Course
Fetal malpresentation is defined as a fetus presenting at birth in a non-vertex presentation as either occiput transverse (OT) or occiput posterior (OP). This condition occurs 15% to 25% at term and 5% to 12% at birth, frequently increases risk of surgical birth, and may prompt alterations in the fetal heart rate significant for acid-base imbalance. In an effort to reduce cesarean births due to fetal malpresentation, ACOG and SMFM encourage practitioners to perform manual rotation of the fetal occiput in the setting of fetal malposition in the second stage of labor as an intervention prior to operative vaginal delivery or surgery.
ABMS Member Board Approvals by Type
ABMS Lifelong Learning CME Activity
Family Medicine
Commercial Support?
NoNOTE: If a Member Board has not deemed this activity for MOC approval as an accredited CME activity, this activity may count toward an ABMS Member Board’s general CME requirement. Please refer directly to your Member Board’s MOC Part II Lifelong Learning and Self-Assessment Program Requirements.
Educational Objectives
a. Outline the clinical implications of OP malpresentation.
b. Assess fetal positioning.
c. Encourage fetal rotation during labor using maternal positioning.
Keywords
malpresentation, OP positioning, sunny side up
Competencies
Medical Knowledge, Patient Care & Procedural Skills, Practice-based Learning & Improvement, Systems-based Practice
CME Credit Type
AMA PRA Category 1 Credit
Practice Setting
Inpatient, Rural, Urban, VA/Military