A 37-year-old multiparous woman in active labour develops shoulder dystocia after delivery of the fetal head, which retracts against the perineum (tur...

Question

A 37-year-old multiparous woman in active labour develops shoulder dystocia after delivery of the fetal head, which retracts against the perineum (turtle sign). After calling for help and stopping maternal pushing, what is the most appropriate initial manoeuvre?

Accepted Answer

Perform McRoberts manoeuvre and suprapubic pressure

Answer

Apply fundal pressure

Answer

Attempt immediate vacuum extraction

Answer

Perform internal rotational manoeuvres first

Answer

Perform emergency caesarean section with the head already delivered

ca-mccqe1 MCQ (SBA): Shoulder dystocia

A 37-year-old multiparous woman in active labour develops shoulder dystocia after delivery of the fetal head, which retracts against the perineum (turtle sign). After calling for help and stopping maternal pushing, what is the most appropriate initial manoeuvre?