Avoiding instrumental delivery with correction of levorotation abdominally and manual correction vaginally
1. Situation
Multip pushing for >1hour and not delivered
1. Correction of levorotation abdominally with hands and stabilisation of the same with 2-3 contractions.
2. V/E - Correction of LOA to OA manually and maintainance of manula correction with pushing
Encourage pushing ----- Spontaneous vaginal delivery
