ABSTRACT: Retrospective chart review was conducted for four low-risk women with full-term, healthy fetuses in the occiput posterior position. The first woman pushed for over two hours and delivered a 6 lb, 83/4 oz baby by cesarean section. The second woman delivered a 5 lb, 23/4 oz baby posteriorly by vacuum extraction and had a third-degree laceration. The third and fourth women both assumed the hands-and-knees posture during labor; their infants weighed 7 lb, 73/4 oz and 7 lb, 113/4 oz, respectively. Both of these fetuses rotated to the anterior position and were born spontaneously without complications.