At 37 weeks, can the fetal position change from LOP to LOA?

May 10, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
At 37 weeks, fetal position LOP usually adjusts to LOA. LOP refers to left occiput posterior position, while LOA refers to left occiput anterior position. Both positions are considered normal before labor; however, the occiput posterior position is not the ideal position for passing through the pelvis. During labor, the fetal head gradually descends under the pressure of uterine contractions and typically rotates to the LOA position, or may be manually rotated by an obstetrician.

At 37 weeks, a fetal position of LOP usually adjusts to LOA. The detailed explanation is as follows:

At 37 weeks, pregnancy typically enters the late stage. LOP refers to left occiput posterior position, while LOA refers to left occiput anterior position. Both LOP and LOA are considered normal before labor; however, the occiput posterior position is not the ideal position for passing through the pelvis. During labor, as uterine contractions exert pressure, the fetal head gradually descends. During this descent, the fetus may flex and rotate, adjusting into the LOA position to better fit the pelvic birth canal. Alternatively, the healthcare provider may manually rotate the fetal position to facilitate normal delivery.

If the fetal position is LOP at 37 weeks, it is recommended to rest in a left lateral position to improve placental blood flow and oxygen supply, thereby preventing intrauterine hypoxia.