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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
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. The long bone of the arm is the humerus. The forearm is the portion of the upper extremity from the elbow to the wrist.
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.
http://utilis.net/sd/postarm.html
Delivery of the Posterior Arm Gaskin's Maneuver Zavanelli Maneuver Abdominal Rescue Other Described Techniques
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 ...Author: Sarah H Poggi, Catherine Y Spong, Catherine Y Spong, Robert H Allen
https://www.sciencedirect.com/science/article/pii/S0020729206000993
A geometric analysis in a recent study revealed that using posterior arm delivery reduced obstruction of labor more than twice as often relative to the McRoberts manoeuvre. Hence it was recommended that the Barnum maneuver be used. The present study indicates a possible reduction of shoulder diameters, especially in heavier fetuses.Author: J. Kung, A.V. Swan, S. Arulkumaran
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 [ 17 ].Author: Hanne Willer, Anna Jm Aabakke, Lone Krebs
https://www.youtube.com/watch?v=YRSC8lku_-c
Jan 04, 2016 · The emotional birth of my beautiful son and his stillborn twin brother. - Duration: 15:09. Caileigh Sellars Recommended for you
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