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An enlightening article recently appeared in the <i>British Journal of Obstetrics and Gynaecology</i> by Akmal and colleagues. They performed sonograms in 601 women in active labor to assess the position of the fetal head as it entered the maternal pelvis. Using the simple end point of Cesarean section, they then folded in a variety of other variables, such as maternal age, parity, maternal height, ethnicity, fetal gender, gestational age, and whether labor was spontaneous or induced.

Ultrasonographic Occiput Position in Early Labor in the Prediction of Cesarean Section