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If someone needs immediate help with shoulder dystocia, use emergency mode.
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DEVELOPMENT FIXTURE — Head delivered but anterior shoulder stuck behind pubic bone — neonatal emergency.
The essentials if you need to act right now.
Help! Knees to chest. Push above pubic bone not belly. Do not pull head.
What might I see? Observable signs — no diagnosis required.
DEVELOPMENT FIXTURE — Head out with body not following after gentle traction fails.
DEVELOPMENT FIXTURE — "Turtling" of fetal chin against mother.
Optional deeper explanation — not required to act.
DEVELOPMENT FIXTURE — Turtle sign — head delivers then retracts against perineum.
DEVELOPMENT FIXTURE — Cord compression while stuck causes rapid hypoxia.
Check the scene before you approach.
Civilian-safe actions you can take.
DEVELOPMENT FIXTURE — Shout for help second pair hands.
DEVELOPMENT FIXTURE — McRoberts position both legs hyperflexed to abdomen.
DEVELOPMENT FIXTURE — Suprapubic pressure by assistant downward diagonal on stuck shoulder.
DEVELOPMENT FIXTURE — Time from head delivery — call out minutes to team.
When and how to get professional help.
Shoulder dystocia always needs documentation and neonatal check.
DEVELOPMENT FIXTURE — McRoberts and suprapubic pressure per training. Advanced manoeuvres obstetric.
DEVELOPMENT FIXTURE — 112 if home birth — shoulder dystocia manoeuvres ongoing.
DEVELOPMENT FIXTURE — Neonatal team for possible depressed baby.
Dangerous actions, when not to attempt rescue, and common myths.
DEVELOPMENT FIXTURE — Do NOT fundal pressure — worsens impaction.
DEVELOPMENT FIXTURE — Do NOT pull head downward excessively — brachial injury.
DEVELOPMENT FIXTURE — Pull harder on head when body stuck
DEVELOPMENT FIXTURE — Excessive traction causes Erb palsy. McRoberts and suprapubic pressure first.
DEVELOPMENT FIXTURE — Permanent arm paralysis from traction.
Other scenarios in the same family.
Breech delivery
DEVELOPMENT FIXTURE — Breech presentation delivery imminent — higher risk than head first.
Pregnancy CPR
DEVELOPMENT FIXTURE — Cardiac arrest in pregnancy requires CPR with left uterine displacement.
Pregnancy choking
DEVELOPMENT FIXTURE — Airway obstruction in pregnant woman — chest thrusts not abdominal thrusts.
Cord prolapse
DEVELOPMENT FIXTURE — After membranes rupture cord slips into vagina ahead of baby — compresses and kills baby fast.
DEVELOPMENT FIXTURE — Document manoeuvres brachial plexus exam post delivery.
DEVELOPMENT FIXTURE — Postpartum hemorrhage risk increased — monitor mother.