Shoulder Dystocia — Practice
A 29-year-old G2P1 at 39 weeks delivers a 4.2 kg baby after a prolonged second stage. During delivery the fetal head retracts against the perineum and the anterior shoulder fails to deliver with routine traction. Which is the recommended FIRST manoeuvre once shoulder dystocia is recognised?
AWood's corkscrew rotation of the posterior shoulder
BDeliberate fracture of the fetal clavicle
CMcRoberts manoeuvre with suprapubic pressure
DZavanelli manoeuvre with cephalic replacement