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what is shoulder dystocia?
a vaginal, head first delivery that requires additional manoeuvres to deliver due to baby's shoulder impacting on the maternal pelvis
how long is the delay from head to body been born?
what are the risk factors?
previous shoulder dystocia
induction of labour
prolonged second stage
what are the S and S?
arrest of spontaneous delivery
head remaining tightly applied to the vulva or retracting
fetal head not turning easily
what positions/steps should the mother be placed in if the baby is not born within two contractions following the birth of the head?
McRoberts position - axial traction for 30 seconds
continuous suprapubic pressure to fetal back for 30 seconds
rocking suprapubic pressure to fetal back for 30 seconds
Then all fours and attempt delivery
how would you convey a pt who is unable to deliver?
lateral position with legs separated with blanket to protect baby's head
what should you never do with shoulder dystocia?
do not cut the cord before the head is delivered
do not press on the fundus