Which of the following maneuvers is not used for the management of shoulder dystocia?
- A. McRoberts maneuver
- B. Suprapubic pressure
- C. Woods corkscrew maneuver
- D. Mauriceau Smellie Veit maneuver
0 voters
Correct answer : D. Mauriceau Smellie Veit maneuver
- Mauriceau Smellie Veit maneuver is used in the management of after coming head in case of breech delivery.
What is shoulder dystocia?
- It is a type of obstructed labour in which the anterior shoulder of the fetus fails to deliver after the emergence of the head.
Risk factors
- Diabetes
- Fetal macrosomia
Procedures used in the management of shoulder dystocia
- McRoberts maneuver – The mothers thighs are abducted and flexed onto her abdomen.
- Rubin I maneuver (suprapubic pressure)
- Rubin II maneuver (posterior pressure on anterior shoulder)
- Wood’s corkscrew maneuver – This is performed only if suprapubic pressure and McRoberts maneuver are unsuccessful. Here, the posterior shoulder is rotated to anterior position.
- Jacquemier’s maneuver (Barnum’s maneuver) – Delivery of the posterior shoulder first
- Gaskin maneuver – Mother is moved to an all fours position with the back arched. This widens the pelivic outlet
- Zavanelli’s maneuver
- Cleidotomy – one or both clavicles are cut to decrease the diameter of the shoulder girdle. This is done only in case of a dead fetus / anencephalic fetus
- Maternal symphysiotomy – the pubic symphysis of the mother is cut to facilitate the delivery of the shoulder (this is rarely used)