This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: All India exam, Subject name: Gynaecology & Obstetrics
Shoulder dystocia is managed by- 
Select and explain. 
A. Sharp flexion of hip joints towards abdomen, B. Supra pubic pressure, C. 90 degree rotation of posterior shoulder, D. Emergency c-section
B: Supra pubic pressure
Answer: B: Supra pubic pressure 
Explanation: * Mnemonic "HELPERR" as a guide for treating shoulder dystocia: * "H" stands for help * "E" stands for evaluate for episiotomy. * "L" stands for legs(pull your legs toward your stomach McRobes maneuver) * "P" stands for suprapubic pressure * "E" stands for enter maneuvers(internal rotation of baby's shoulders) * "R" stands for remove the posterior arm from the bih canal. * "R" stands for roll the patient. REF : DUTTA BOOK OF OBSTETRICS 7TH ED