2020年7月15日 · Calm and thoughtful use of release maneuvers such as knee to chest (McRoberts maneuver), suprapubic pressure, posterior arm or shoulder delivery, and internal...

Shoulder dystocia is an obstetric emergency in which gentle downward traction of the fetal head does not lead to delivery and additional maneuvers are required to deliver

2024年5月13日 · Learn about nursing maneuvers for shoulder dystocia, inclduing best practices, reducing risk factors, and care plans to improve outcomes.

2022年11月29日 · In the management of shoulder dystocia, it is often recommended to start with external maneuvers, such as the McRoberts maneuver and suprapubic pressure, followed by internal maneuvers including rotation and posterior arm delivery.

2024年10月21日 · Approximately 75% of shoulder dystocia cases treated with maneuvers were resolved by the McRoberts maneuver and/or suprapubic pressure. Each of the four most common maneuvers significantly increased the cumulative success rate (P<0.001)

DEFINITION – ACOG defines shoulder dystocia as delivery that requires additional obstetric maneuvers following failure of gentle downward traction on the fetal head to effect delivery of the shoulders. Others have defined shoulder dystocia as a head-to-body delivery time exceeding 60 seconds or the need for ancillary obstetric maneuvers.

2019年8月2日 · Rubin maneuver: Place hand on the back of the posterior fetal shoulder followed by anterior rotation towards the fetal face Woods Screw maneuver: Apply pressure to anterior surface of the posterior shoulder with fetal rotation until anterior shoulder disengages from behind the maternal symphysis

There are 4 different recognized grades or levels of shoulder dystocia: Grade I (mild); Grade II (moderate); Grade III (severe); Grade IV (undeliverable). The chart below lists the suggested treatment techniques for each stage or grade of shoulder dystocia. II. …

Video footage of actual deliveries involving shoulder dystocia and permanent brachial plexus injury demonstrates ambiguities in making the diagnosis of shoulder dystocia, risks of improper traction and torsion of the head, and overreliance on …

Shoulder dystocia is defined as a cephalic delivery that requires additional obstetric manoeuvres to release the shoulders after gentle downward traction has failed.1 Shoulder dystocia occurs when either the anterior or, less commonly, the posterior fetal shoulder impacts on the maternal symphysis or sacral promontory.