During delivery, the baby's head was delivered but shoulders not delivered after one minute. What's the next step ?: (A) Emergency LSCS, (B) Cleidotomy, (C) Lateral traction, (D) Mc Robe's Maneuver
Answer is D. Diagnosis - shoulder dystocia Shoulder dystocia is when, after delivery of head, the baby's anterior shoulder gets caught above he mother. Pubic bone Risk factors 1) Gestational diabetes 2) > 35 age 3) Small or abnormal pelvis 4) wt. of baby > 4500 g Complications Damage to upper brachial plexus Klumpke paralysis Erb's palsy Fetal hypoxia Fetal death Cerebral palsy Management - Mc. Robe's