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Shoulder dystocia in the delivery room β€” step-by-step maneuvers and documentation

Prabhu Kvn
Prabhu Kvn
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πŸ‘ 9 viewsπŸ’¬ 0 answersπŸ• 19h ago
⚠For peer discussion only β€” not a substitute for clinical judgment. Always verify with authoritative sources.

During a vaginal delivery of a macrosomic baby (estimated 4.5 kg), the head delivers but the shoulders are impacted at the symphysis. After calling for help, what is the correct sequence of maneuvers: McRoberts position, suprapubic pressure, Rubin II / Woods screw, delivery of posterior arm, Zavanelli? At what point do we consider Zavanelli maneuver, and what neonatal injuries must be documented?

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πŸ• Asked 19h ago
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Prabhu Kvn
Prabhu Kvn
Other
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