shoulder dystocia CPG

Question 1

what is done if there is prolonged head to body delivery?

Answer 1

note time of head birth
request urgent assistance
explain to mother and ask her to push forcefully
apply gental downward traction to deliver shoulder

Question 2

what is the first manouvor to try if no sucesfful delivry?

Answer 2

mcroberts- kneews to nipples to hyper extend hips - asisst mother to maintain position

Question 3

if no delivery in 30 - 60 seconds
rubens 1- supre pubic pressure at 45 degree angle on anterior shoulder trying to rotate shoulder forward

after 30seoncds downards pressure 30 seconds rocking

Question 4

if not delivered after rubins 1 what to do>

Answer 4

rotate mother onto all fours and maintain mcroberts- gaskins

- hold baies head and apply gental downward traction to delier posterior shoulder