McRoberts maneuver
The McRoberts maneuver 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. It is effective due to the increased mobility at the sacroiliac joint during pregnancy, allowing rotation of the pelvis and facilitating the release of the fetal shoulder.[2] If this maneuver does not succeed, an assistant applies pressure on the lower abdomen (suprapubic pressure), and the delivered head is also gently pulled. The technique is effective in about 42% of cases.[3]
See also
- Woods' screw maneuver
- Zavanelli maneuver
- Shoulder dystocia
- Treatment of shoulder dystocia
- The mechanics of birth
References
- ↑ Gonik, B.; Stringer, C. A.; Held, B. (1983). "An alternate maneuver for management of shoulder dystocia". American Journal of Obstetrics and Gynecology 145 (7): 882–884. PMID 6837666.
- ↑ Gherman, R. B.; Tramont, J.; Muffley, P.; Goodwin, T. M. (2000). "Analysis of McRoberts' maneuver by x-ray pelvimetry". Obstetrics and gynecology 95 (1): 43–47. doi:10.1016/s0029-7844(99)00445-7. PMID 10636500.
- ↑ Kish, Karen; Joseph V. Collea (2003). "Malpresentation & Cord Prolaps (Chapter 21)". In Alan H. DeCherney. Current Obstetric & Gynecologic Diagnosis & Treatment. Lauren Nathan (Ninth ed.). Lange/McGraw-Hill. pp. 381–382. ISBN 0-07-118207-1.
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