Manual rotation is indicated in the following scenarios:
Persistent Occiput Posterior (OP) Position: When the fetus remains in the OP position despite attempts to rotate spontaneously. Transverse Position: When the fetal head is oriented sideways, making vaginal delivery difficult. Prolonged Labor: When labor is prolonged due to malposition, manual rotation can expedite delivery. Fetal Distress: To quickly correct the position and facilitate a faster delivery if the fetus is in distress.
