Persistent Occiput Posterior: OUTcomes following manual rotation.

This study is testing whether manually rotating a baby during labor — when the baby is facing the wrong direction — can reduce the need for assisted delivery (such as forceps, vacuum, or caesarean section). When a baby faces upward (occiput posterior) or sideways instead of face-down, labor often becomes longer and more difficult. Researchers want to see if a midwife or doctor physically turning the baby once the mother is fully dilated helps the labor progress more naturally. You may be eligible if: - You are female and 18 to 50 years old - You are at least 37 weeks pregnant with a single baby - You are planning a vaginal delivery - Your baby is confirmed by ultrasound to be facing the wrong direction (occiput posterior) - You are fully dilated (cervix is fully open) You may NOT be eligible if: - Your doctor suspects your pelvis is too small for the baby to pass through - You have had a previous caesarean section - Your baby's heart rate pattern is concerning (pathologic CTG) - You have had heavy bleeding during labor (more than 50 mL) - You have a fever above 37.9°C during labor - You have pre-existing diabetes Talk to your doctor about whether this trial might be right for you.