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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.
McRoberts maneuver; [16] [17] involves hyperflexing the mother's legs tightly to her abdomen. This widens the pelvis, and flattens the spine in the lower back (lumbar spine). If this maneuver does not succeed, an assistant applies pressure on the lower abdomen (suprapubic pressure), and the delivered head is also gently pulled.
Rubin's I and II maneuvers, rotational maneuver to deliver the baby in case of shoulder dystocia. [1] The Rubin's I maneuver is dislodging the anterior shoulder under pubic symphysis by adding suprapubic pressure while in the McRoberts' position. As a result, the bisacromial diameter is rotated from anteroposterior to oblique lie.
Treatment includes the McRoberts maneuver, where the mother flexes her thighs up to her stomach with her knees wide apart as pressure is applied on her lower abdomen, and Wood's screw maneuver, where the deliverer inserts a hand into the vagina to rotate the fetus. [33] If all maneuvers fail, then C-section would be indicated.
Every so often throughout the day, the midwives used a Doppler fetal monitor to detect the heartbeat. To help the labor progress, they had Kate squat, sit on a birthing stool and try the McRoberts maneuver, in which she lay on her back and pressed her legs to her belly. As the light faded and Kate neared the 30-hour mark, she started to panic.
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. This maneuver is tried only after the McRoberts maneuver, and application of suprapubic (lower abdomen) pressure have been tried. [2]
Mauriceau–Smellie–Veit maneuver or Mauriceau maneuver (named after François Mauriceau, William Smellie and Gustav Veit) is an obstetric or emergent medical maneuver utilized in cases of breech delivery. This procedure entails suprapubic pressure by one obstetrician on the mother/uterus, while another obstetrician inserts left hand in ...
It is believed that suction on the head increases intracranial pressure which may cause an increase in arterial blood pressure in the eye leading to retinal bleeding. [ 16 ] Newborns undergoing operative delivery have a higher likelihood of experiencing shoulder dystocia , a delivery emergency that may lead to further injury such as brachial ...