Which of the following is true about occiput posterior position?

• A. It is often associated with back labor.
• B. It is the most favorable for quickest labor.
• C. It results in breech delivery.
• D. It can be diagnosed only after labor begins.

Answer: (A)

Fetal position shapes how labor feels and progresses. When the head is occiput posterior, the back of the baby’s head faces the mother’s spine. This alignment tends to slow rotation and descent, and it often causes back labor—the intense pain and pressure in the lower back during contractions—as the head navigates the birth canal in that position. Because of this, labor is frequently longer and more uncomfortable, and interventions are more likely.

So the statement that back labor is commonly associated with occiput posterior is the best choice. It isn’t the quickest or easiest labor scenario, and OP is a head presentation rather than breech, and it can often be identified before labor starts through palpation or ultrasound, not only once labor has begun.