IRCT20251229068486N1 IRCT 2026-02-15 Ahvaz University of Medical Sciences effectiveness of maternal Forward-Leaning Positions on rotation of posterior fetal occipital position and Maternal and Neonatal Outcomes OP- occiput posterior Evaluation of the effectiveness of maternal Forward-Leaning Positions during labor on rotation of posterior fetal occipital position and Maternal and Neonatal Outcomes 2026-04-04 anticipated 208 Recruiting https://irct.ir/trial/88720 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Other design features: The forward-leaning position involves the mother standing, on hands-and-knees, or leaning forward over a table, chair, or birthing ball, so that her body weight shifts forward and the pelvis is positioned to facilitate correction of the fetal head. The mother remains in this position during the active phase of labor, with free movement of arms and legs allowed, Randomization description: 27 blocks will be used. In each block of 4, 2 people will be assigned to the intervention group and 3 people to the control group, which will be arranged randomly. Thus, at the end of each block, there will be two balancing groups. N/A Normal Delivery Manangment. Intervention 1: Intervention group: The intervention group, in addition to routine midwifery care (examination, vital signs, and fetal heart rate monitoring), will assume forward-leaning positions alternately for 15–20 minutes per hour during the active phase of labor. Forward-leaning includes standing, hands-and-knees, or leaning over a table, chair, or birthing ball to shift weight forward and align the pelvis for fetal head correction, with free movement of arms and legs. Intervention 2: The control group will receive routine care. No - There is not a plan to make this available Justification or reason for not sharing IPD is There are currently no plans to publish it.