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Shoulder dystocia — DRCOG MCQ

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EasyLabourShoulder dystociaDRCOG

A 30-year-old woman has just delivered the fetal head. It retracts against the perineum and gentle traction does not deliver the shoulders. The midwife calls for help. What is the most appropriate management?

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Correct answer: E — Use McRoberts' manoeuvre with suprapubic pressure

Shoulder dystocia is an obstetric emergency; the first-line manoeuvre is McRoberts' positioning, usually with suprapubic pressure. Fundal pressure can worsen impaction and is avoided. Forceps are not useful once the head is delivered and shoulders are impacted. Prompt calling for help and a structured emergency approach are essential.

Reference: RCOG Green-top Guideline No. 42