He instituted the McRoberts maneuver
followed by suprapubic pressure and the Woods maneuver, all of which were unsuccessful.
It is important to appreciate that the McRoberts maneuver
, with or without suprapubic pressure, may be successful in only approximately 50% of shoulder dystocia cases.
The next set of chapters discusses recognition of dystocia, delivery techniques, the McRoberts maneuver
, cephalic replacement, and infant injury.
This posture, known as the McRoberts maneuver
, widens the angle between the pelvis and the spine, allowing more room for the infant to pass through the birth canal.
pretraining period, and were less likely to use the McRoberts maneuver
Physicians may use the McRoberts maneuver
when they encounter severe dystocia.
In the McRoberts maneuver
the woman pulls her knees up to her abdomen, which flattens out the symphysis pubis, giving 30%-40% more force to each maternal push.
When an impacted shoulder does not respond to the McRoberts maneuver
, you know you have a problem.
The levator ani is relaxed in the squat ting position, and this is certainly the best treatment for this condition; the McRoberts maneuver
is second best.
Among all cases of dystocia, 58% resolved with either suprapubic pressure or the McRoberts maneuver
or a combination of both.
In his experience, the maneuvers that work best include the McRoberts maneuver
and delivery of the posterior arm.
Nevertheless, the McRoberts maneuver
, which involves the patient lying on her back with her legs flexed to her chest, remains the first-line approach.