Shoulder Dystocia

Question 1

McRobert’s maneuver

Answer 1

Hyperflexion of the maternal hips onto the maternal abdomen and/or suprapubic pressure
This straightens the sacrum relative to the lumbar spine and rotates the symphysis pubis anteriorly towards the maternal head

Question 2

Likely infant complication after delivery s/p shoulder dystocia

Answer 2

Erb palsy: arm hangs by the side internally rotated
Brachial plexus injury of C5-C6 nerve roots due to downward traction of the anterior shoulder
Weakness of the deltoid and infraspinatus muscles, as well as the flexor muscles of the forearm

Question 3

Fetal weight increase in gestational diabetes

Answer 3

Shoulders and abdomen

Question 4

Prenatal risk factors for shoulder dystocia

Answer 4

1. Prior shoulder dystocia.
2. Fetal macrosomia.
3. Maternal gestational diabetes.

Question 5

Zavanelli maneuver

Answer 5

cephalic replacement and immediate cesarean