What immediate steps should I take in the management of a patient experiencing shoulder dystocia during delivery?

The provided UK guideline excerpts do not detail the immediate management steps specifically for shoulder dystocia during delivery ¹,²,³,⁴,⁵. However, they do mention that fractured humerus and clavicle are uncommon outcomes associated with adverse events during labour ¹.

General principles for managing urgent situations during labour include assessing the degree of urgency, clinical findings, and the need to expedite birth for maternal or fetal reasons ¹. It is also important to bear in mind the necessity to call for help if the baby needs resuscitation and to ensure facilities for resuscitation are available ¹.