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https://www.birthinjuryhelpcenter.org/dystocia-delivery-techniques.html
Rubin's II involves the posterior arm, pushing the posterior aspect of the shoulder. Barnum maneuver is another delivery that is very common today. This is simply the delivery of the posterior arm. This technique may require an episiotomy. Some experts tell us this has a 75 to 80 percent success rate.
https://www.mdedge.com/obgyn/article/87574/obstetrics/tackle-challenging-shoulder-dystocia-emergency-practicing-delivery
The arm is then pulled out of the vagina, which brings the posterior shoulder out of the pelvis and reduces the shoulder diameter by 2 to 3 cm. If the anterior shoulder cannot be delivered at this point, the fetus can be rotated and the procedure repeated for the anterior (now posterior) arm.
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
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.sciencedirect.com/science/article/pii/S0020729206000993
Conclusion: In cases of shoulder dystocia, delivery of the posterior arm should significantly reduce shoulder dimensions, especially in larger fetuses, and prevent a need for excessive traction.Author: J. Kung, A.V. Swan, S. Arulkumaran
https://www.youtube.com/watch?v=ItSHCf94MGU
Nov 19, 2015 · Shoulder dystocia - removing posterior arm FeednSleep - Baby/midwifery care. ... Shoulder Dystocia with Brachial Plexus ... Medical Legal Art 25,224 views. 0:32. Forceps Assissted Delivery Part I ...
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
https://www.youtube.com/watch?v=YRSC8lku_-c
Jan 04, 2016 · Inova Center for Advanced Medical Simulation: Shoulder Dystocia Simulation - Duration: 6:27. Inova Health System 37,916 views
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