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Shoulder dystocia is when, after vaginal delivery of the head, the baby's anterior shoulder gets caught above the mother's pubic bone. [3] [1] Signs include retraction of the baby's head back into the vagina, known as "turtle sign". [1] Complications for the baby may include brachial plexus injury, or clavicle fracture.
The main causes of obstructed labour include a large or abnormally positioned baby, a small pelvis, and problems with the birth canal. [2] Both the size and the position of the fetus can lead to obstructed labor. Abnormal positioning includes shoulder dystocia where the anterior shoulder does not pass easily below the pubic bone. [2]
Wood's screw maneuver is practiced in obstetrics when dealing with shoulder dystocia – a condition in which the fetal shoulders cannot easily pass through the vagina.In this maneuver the anterior shoulder is pushed towards the baby's chest, and the posterior shoulder is pushed towards the baby's back, [1] making the baby's head somewhat face the mother's rectum.
Another risk factor for shoulder dystocia would be whether the baby weighs more than 4,000 grams, or 8 pounds, 13 ounces. (According to the lawsuit, Ross’ baby weighed 7 pounds, 6 ounces upon ...
Rubin's I and II maneuvers, rotational maneuver to deliver the baby in case of shoulder dystocia. [1] The Rubin's I maneuver is dislodging the anterior shoulder under pubic symphysis by adding suprapubic pressure while in the McRoberts' position. As a result, the bisacromial diameter is rotated from anteroposterior to oblique lie.
McRoberts maneuver (1) in combination with suprapubic pressure (2) The McRoberts maneuver is an obstetrical maneuver used to assist in childbirth.It is named after William A. McRoberts, Jr. [1] It is employed in case of shoulder dystocia during childbirth and involves hyperflexing the mother's legs tightly to her abdomen.
The doctor who delivered the baby, Dr. Tracey St. Julian, applied “excessive traction on the baby’s neck, in the face of the shoulder dystocia,” Dr. Roderick Edmond, an attorney for the ...
The Zavanelli maneuver is an obstetric maneuver that involves pushing back the delivered fetal head into the birth canal in anticipation of performing a cesarean section in cases of shoulder dystocia. [1] [2] The Zavanelli maneuver is performed only after other maneuvers have failed, as it is associated with high risk to both the mother and the ...