Question

Which of these steps is followed first for the management of shoulder dystocia after McRoberts maneuver ?

• A. Sharp flexion of hip joints towards abdomen
• B. Supra pubic pressure
• C. 90 degree rotation of posterior shoulder
• D. Emergency c-section

Answer 1

The Correct Option is B

To manage shoulder dystocia following the McRoberts maneuver, the next step is to apply suprapubic pressure. This intervention aims to dislodge the anterior shoulder of the fetus from behind the mother's pubic symphysis, facilitating delivery.

Here's a brief overview of the process:

• McRoberts maneuver: Initially, the mother’s hips are hyperflexed and abducted, increasing the anterior posterior diameter of the pelvis.
• Supra pubic pressure: If shoulder dystocia persists, direct pressure is applied just above the pubic bone on the area where the fetal shoulder is impacted. The goal is to adduct and rotate the shoulder to help it slide under the pubic symphysis.

This step is critical before considering more invasive procedures such as a 90-degree rotation of the posterior shoulder or emergency c-section.