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

Prabhu Kvn
Prabhu Kvn
Other
πŸ‘ 19 viewsπŸ’¬ 0 answersπŸ• Apr 14, 2026
⚠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‘ Views19
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πŸ• Asked Apr 14, 2026
Asked by
Prabhu Kvn
Prabhu Kvn
Other
⭐ 48 reputation
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