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https://journals.lww.com/greenjournal/Abstract/2018/05001/Delivery_of_the_Posterior_Arm_as_Initial_Maneuver.163.aspx
Delivery of the posterior arm as the initial maneuver to relieve shoulder dystocia increased neonatal humeral fractures. To evaluate if institutionally adopting delivery of the baby’s posterior arm as the initial maneuver during shoulder dystocia has increased the rate of neonatal humeral fractures.
https://www.mdedge.com/obgyn/article/87574/obstetrics/tackle-challenging-shoulder-dystocia-emergency-practicing-delivery
Experts estimate that this change results in a 2-cm decrease in the presenting fetal diameter, thereby facilitating delivery. 8,9. In describing posterior arm delivery, it is important to clearly define the anatomy of the upper extremity. The arm is the portion of the upper extremity from the shoulder to the elbow joint.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4223378/
A computer-simulated trial of the manoeuvres used during shoulder dystocia found that primary delivery of the posterior arm caused an 80% reduction in the delivery force and a 70% reduction in stretch to the brachial plexus . Primary delivery of the posterior shoulder could therefore be of advantage during uncomplicated deliveries, but, to the ...Author: Hanne Willer, Anna Jm Aabakke, Lone Krebs
https://www.youtube.com/watch?v=ItSHCf94MGU
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https://en.wikipedia.org/wiki/Shoulder_dystocia
Shoulder dystocia is when, after delivery of the head, the baby's anterior shoulder gets caught above the mother's pubic bone. Signs include retraction of the baby's head back into the vagina, known as "turtle sign". Complications for the baby may include brachial plexus injury or clavicle fracture. Complications for the mother may include vaginal or perineal tears, postpartum bleeding, or ...Diagnostic method: Body fails to deliver within one minute of the head
http://utilis.net/sd/postarm.html
Shoulder Dystocia: Delivery of the Posterior Arm: Introduction Definition Risk Factors Prediction Management Maneuvers. McRoberts' Maneuver Suprapubic Pressure (Rubin I) Episiotomy Rubin II Maneuver Woods' Corkscrew Maneuver Delivery of the Posterior Arm Gaskin's Maneuver Zavanelli Maneuver Abdominal Rescue Other Described Techniques. Algorithm ...
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.sciencedirect.com/science/article/pii/S0020729206000993
Objective: To evaluate a possible reduction in shoulder diameter and circumference by extending the posterior arm during delivery, for an easier birth in cases of shoulder dystocia.Methods: In this study of 33 neonates the bisacromial diameter and axilloacromial circumference were measured within 72 h of birth, first with the neonate's arms by its chest and then with 1 arm extended above its head.Author: J. Kung, A.V. Swan, S. Arulkumaran
https://emedicine.medscape.com/article/262444-overview
Jan 24, 2019 · Compound presentations are more likely with obstetric interventions than with spontaneous events. [3, 4, 5] This type of presentation involves the prolapse of an extremity along with the more traditional presenting part, almost always the …
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