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https://www.merckmanuals.com/professional/gynecology-and-obstetrics/normal-labor-and-delivery/management-of-normal-delivery
When about 3 or 4 cm of the head is visible during a contraction in nulliparas (somewhat less in multiparas), the following maneuvers can facilitate delivery and reduce risk of perineal laceration: The clinician, if right-handed, places the left palm over the infant’s head during a contraction to control and, if necessary, slightly slow progress.
https://www.ahn.org/education/star-center/course-catalog/multidiscipline-courses/vaginal-delivery
Basic Maneuvers for Vaginal Delivery. This course is designed to teach medical students the proper maneuvers involved during vaginal delivery. During this course, medical students will develop an understanding of the mechanism of vaginal delivery as well as maneuvers used in uncomplicated vaginal delivery processes.
https://www.obgproject.com/2019/06/05/new-technique-shoulder-shrug-maneuver-for-delivery-during-shoulder-dystocia/
The shoulder shrug maneuver is a technique that can be added to any obstetrician’s management of shoulder dystocia. Learn More – Primary Sources: Shoulder Shrug Maneuver to Facilitate Delivery During Shoulder Dystocia. Supplemental Digital Material Illustrating the Shrug Maneuver (Green Journal)
https://www.youtube.com/watch?v=dkoOB1MEaBI
Oct 08, 2013 · This video demonstrates hand maneuvers for assisting with a normal delivery that is taking place in a bed.
https://journals.lww.com/greenjournal/Fulltext/2019/06000/Shoulder_Shrug_Maneuver_to_Facilitate_Delivery.15.aspx
Delivery of the posterior arm is a possible maneuver, yet it requires that the neonate's hand be accessible to sweep across the chest. This can be very difficult in large neonates or with constricted maternal anatomy. 18 Also, aggressive attempts during this process can lead to humeral or clavicular fractures. Although this will allow for delivery, it is not an ideal outcome.
https://www.obgyn.net/pregnancy-and-birth/which-maneuvers-work-best-acute-management-shoulder-dystocia
Jul 17, 2011 · Odds ratios for neonatal injury based on maneuver type. “We were able to clearly demonstrate that delivery of the posterior shoulder was superior to other maneuvers in the acute management of shoulder dystocia with a comparable rate of …Author: Mph Heidi Anne Duerr
https://www.uptodate.com/contents/delivery-of-the-fetus-in-breech-presentation
Jun 25, 2019 · Cesarean delivery is the preferred approach in most hospitals and is performed for over 90 percent of breech presentations . However, a minority of clinicians and pregnant women consider vaginal breech delivery the preferred option. In selected cases, as described below, it is associated with a low risk of complications.
https://www.healthline.com/health/pregnancy/delivery-shoulder-dystocia
Mar 15, 2012 · Doctors use a mnemonic “HELPERR” as a guide for treating shoulder dystocia: “H” stands for help. “E” stands for evaluate for episiotomy. “L” stands for legs. “P” stands for suprapubic pressure. “E” stands for enter maneuvers. “R” stands for remove the posterior arm from the birth canal. “R” stands for roll the patient.Author: Rachel Nall, MSN, CRNA
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