Question

How long should you perform each maneuver for shoulder dystocia before moving to the next?

a) 15 seconds
b) 30 seconds
c) 45 seconds
d) 60 seconds

Answer 1

For shoulder dystocia, each maneuver should be performed for approximately 30 seconds before proceeding to the next maneuver, to reduce the risks associated with the condition.

Step-by-step explanation:

In the management of shoulder dystocia, a serious and potentially dangerous complication during childbirth, several manoeuvres can be performed to facilitate the delivery. Healthcare providers are advised to perform each manoeuvre for approximately 30 seconds before moving on to the next. The sequence of manoeuvres should be performed calmly, methodically, and rapidly to reduce the risks associated with prolonged dystocia, such as fetal hypoxia or brachial plexus injury.

The manoeuvres include McRoberts' manoeuvre, which involves sharply flexing the mother's thighs toward her abdomen, suprapubic pressure applied above the pubic bone to help dislodge the baby's shoulder, and internal rotational manoeuvres, such as the Wood's screw or Rubin's technique. If these initial manoeuvres are unsuccessful, more invasive procedures such as the Zavanelli manoeuvre, symphysiotomy, or delivery of the posterior arm might be considered.