Abstract: The literature regarding the cause of occiput posterior fetal position is controversial. Regardless of the etiology, delivery of an infant in the occiput posterior position has potential dangers for mother and child. While there is increasing use of epidural analgesia in the United States, the literature is lacking on interventions to facilitate rotation of malpositioned fetuses in women with epidurals. This study used physical theory to explore the relationship between maternal positions in labor and fetal position at delivery using a retrospective chart review. Results of this research study showed that those who used many different maternal positions in labor delivered occiput anterior more frequently.