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https://www.birthinjuryhelpcenter.org/dystocia-delivery-techniques.html
An alternative delivery technique for Grade II dystocia is known as Posterior Shoulder Delivery. This technique focuses on first delivering the posterior arm and shoulder (i.e., the arm that is free and not stuck behind the pelvic bone). The doctor reaches in and grasps the wrist of the posterior arm, then pulls that arm through the birth canal.
https://www.ncbi.nlm.nih.gov/pubmed/12738105
BACKGROUND: Delivery of the posterior arm, or the Barnum maneuver, is at times used late in shoulder dystocia management algorithms, and is not often a first- or second-line management protocol. CASE: A multiparous, diabetic patient, who was morbidly obese and had a residual obstetric brachial plexus injury, experienced a precipitous second stage of labor and severe shoulder dystocia.Author: Sarah H Poggi, Catherine Y Spong, Catherine Y Spong, Robert H Allen
https://www.healthline.com/health/pregnancy/delivery-shoulder-dystocia
Mar 15, 2012 · Management of Shoulder Dystocia. ... events happen fast in the delivery room. If your doctor thinks shoulder dystocia is taking place, they’ll work quickly to correct the problem and deliver ...Author: Rachel Nall, MSN, CRNA
https://www.mdedge.com/obgyn/article/87574/obstetrics/tackle-challenging-shoulder-dystocia-emergency-practicing-delivery
This maneuver to resolve difficult shoulder dystocia deliveries has been in the armamentarium of obstetricians since at least the mid-18th Century. 7 The delivery of the posterior arm reduces the presenting fetal diameter from the larger bisacromial diameter to the smaller axilloacromial diameter.
https://teachmeobgyn.com/labour/emergencies/shoulder-dystocia/
Shoulder dystocia is defined by a delay in delivery of the shoulders following the head during a vaginal delivery with the next contraction after using normal traction. On examination, signs that may occur to aid the diagnosis are: Difficulty in delivery of the fetal head or chin.4.8/5
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