Shoulder dystocia: Difference between revisions
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==Treatment== | ==Treatment== | ||
HELPER | HELPER | ||
#H call for help | |||
#E episiotomy (or episioproctotomy) to increase the anetroposterior diameter of passage | |||
#L Legs flex (McRoberts maneuver) | |||
H call for help | #P Pressure- suprapubic pressure and Rubin’s maneuver (applying shoulder pressure to the fetus to decreases the bisacromial diameter) | ||
#E Enter the vagina and attempt Wood’s corkscrew maneuver by pushing the most accessible shoulder toward the chest to corkscrew the shoulders through | |||
#R Remove posterior arm by sweeping it across the chest and bring fetal hand to the chin, grasp and pull out of the birth canal and across the face | |||
E episiotomy (or episioproctotomy) to increase the anetroposterior diameter of passage | |||
L Legs flex (McRoberts maneuver) | |||
P Pressure- suprapubic pressure and Rubin’s maneuver (applying shoulder pressure to the fetus to decreases the bisacromial diameter) | |||
E Enter the vagina and attempt Wood’s corkscrew maneuver by pushing the most accessible shoulder toward the chest to corkscrew the shoulders through | |||
R Remove posterior arm by sweeping it across the chest and bring fetal hand to the chin, grasp and pull out of the birth canal and across the face | |||
==Source== | ==Source== | ||
6/30/09 DONALDSON (from "Kaji Questions") | 6/30/09 DONALDSON (from "Kaji Questions") | ||
[[Category:OB/GYN]] | [[Category:OB/GYN]] | ||
Revision as of 00:14, 29 March 2011
Treatment
HELPER
- H call for help
- E episiotomy (or episioproctotomy) to increase the anetroposterior diameter of passage
- L Legs flex (McRoberts maneuver)
- P Pressure- suprapubic pressure and Rubin’s maneuver (applying shoulder pressure to the fetus to decreases the bisacromial diameter)
- E Enter the vagina and attempt Wood’s corkscrew maneuver by pushing the most accessible shoulder toward the chest to corkscrew the shoulders through
- R Remove posterior arm by sweeping it across the chest and bring fetal hand to the chin, grasp and pull out of the birth canal and across the face
Source
6/30/09 DONALDSON (from "Kaji Questions")