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Wood's screw maneuver is practiced in obstetrics when dealing with shoulder dystocia – a condition in which the fetal shoulders cannot easily pass through the vagina.In this maneuver the anterior shoulder is pushed towards the baby's chest, and the posterior shoulder is pushed towards the baby's back, [1] making the baby's head somewhat face the mother's rectum.
Shoulder dystocia occurs after vaginal delivery of the head, when the baby's anterior shoulder is obstructed by the mother's pubic bone. [ 3 ] [ 1 ] It is typically diagnosed when the baby's shoulders fail to deliver despite gentle downward traction on the baby's head, requiring the need of special techniques to safely deliver the baby. [ 2 ]
Obstructed labour, also known as labour dystocia, is the baby not exiting the pelvis because it is physically blocked during childbirth although the uterus contracts normally. [2] Complications for the baby include not getting enough oxygen which may result in death. [ 1 ]
A trauma directly on the shoulder and neck region can crush the brachial plexus between the clavicle and the first rib. [14] Although injuries can occur at any time, many brachial plexus injuries happen during birth: the baby's shoulders may become impacted during the birth process causing the brachial plexus nerves to stretch or tear.
Dystonia is often intensified or exacerbated by physical activity, and symptoms may progress into adjacent muscles. [ 4 ] The disorder may be hereditary or caused by other factors such as birth-related or other physical trauma , infection , poisoning (e.g., lead poisoning ) or reaction to pharmaceutical drugs , particularly neuroleptics , [ 3 ...
McRoberts maneuver (1) in combination with suprapubic pressure (2) The McRoberts maneuver is an obstetrical maneuver used to assist in childbirth.It is named after William A. McRoberts, Jr. [1] It is employed in case of shoulder dystocia during childbirth and involves hyperflexing the mother's legs tightly to her abdomen.
Complications can occur before, during, and after birth that affect both parent and baby. Asynclitism can lead to slower and more difficult labor, increasing stress and fatigue. If the fetus's head is not optimally positioned, this can result in dystocia, necessitating an operative delivery.
Treatment using botulinum toxin type B is comparable to type A, with an increased frequency of the side effect dry mouth. [ 10 ] [ 21 ] Common side effects include pain at the injection site (up to 28%), dysphagia due to the spread to adjacent muscles (11% to 40%), dry mouth (up to 33%), fatigue (up to 17%), and weakness of the injected or ...