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This type of head and shoulders pattern has more than one left or right shoulders or head. It is also known as multiple head and shoulders pattern. [citation needed] One particular type is known as a Wyckoff distribution, which usually consists of a head with two left shoulders and a weaker right shoulder. [citation needed]
Extension is the point where the head moves past the pubic symphysis, where it has to curve underneath the birth canal while the anterior head still faces the mother's bottom. External rotation (or Restitution) occurs when the baby pauses after the head passes through the body. During this pause, the infant rotates itself sideways (facing the ...
At this time the baby usually turns to face the mother's back. Next occurs external rotation, which is when the shoulders emerge as the baby's head enters the maternal pelvis. The combination of maternal muscle tone and uterine contractions causes the baby's head to flex, chin to chest. Then the back of the baby's head emerges and finally the face.
Circumference of head and chest is equal; head size is in better proportion to the body. "Baby fat" disappears as neck appears. Posture is more erect; abdomen no longer protrudes. Slightly knock-kneed. Can jump from low step; Can stand up and walk around on tiptoes "Baby" teeth stage over. Needs to consume approximately 6,300 kJ (1,500 kcal) daily.
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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.
If the cord is loose, it can easily be slipped over the infant's head. The infant can be delivered normally and placed on maternal abdomen as desired. If the cord is too tight to go over the infant's head, the provider may be able to slip it over the infant's shoulders and deliver the body through the cord.
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