Obs Shoulder dystocia

Question 1

What are the steps to management of shoulder dystocia

Answer 1

tell woman to stop pushing, call for help (Senior/2222)

1- McRoberts- hips flexed and abducted (90% sucess)
2-Suprapubic pressure
3- consider epiositomy
4- Deliver postrior arm (Woods screw maneuvre)- can go infrom or behing
5- CHange position to all fours
6- consider breaking symphisis, shoulder

Question 2

What is mc roberts

Answer 2

1st line Mx of shoulder dystocia

1- McRoberts- hips flexed and abducted (90% sucess)

Question 3

what is Woods screw manoeuvre

Answer 3

4th option (after McRoberts, suprapubic press, epiostomy) for shoulder dystocia

Deliver postrior arm (Woods screw maneuvre)- can go infrom or behing