Shoulder Dystocia

Posted by e-Medical PPT Tuesday, May 18, 2010
Shoulder dystocia is a specific case of dystocia whereby after the delivery of the head, the anterior shoulder of the infant cannot pass below the pubic symphysis, or requires significant manipulation to pass below the pubic symphysis. It is diagnosed when the shoulders fail to deliver shortly after the fetal head.Shoulder dystocia is an obstetrical emergency.
A number of obstetrical maneuvers are sequentially performed in attempt to facilitate delivery at this point.McRoberts maneuver,Suprapubic pressure (or Rubin I),Rubin II or posterior pressure on the anterior shoulder,Woods' screw maneuver,ect

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