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Shoulder dystocia during imminent birth — DipIMC MCQ

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HardPaediatric and Obstetric EmergenciesShoulder dystocia during imminent birthDipIMC

A multiparous woman delivers the head in the ambulance bay, but it retracts against the perineum and the shoulders do not deliver with the next contraction. The baby is not yet born and help is 6 minutes away. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Call for help, use McRoberts position and suprapubic pressure

Shoulder dystocia requires immediate manoeuvres such as McRoberts and suprapubic pressure while summoning help. Fundal pressure worsens impaction and risks uterine rupture. Excessive traction can cause brachial plexus injury and does not address the obstruction.

Reference: JRCALC maternity guidance; PROMPT/RCOG shoulder dystocia principles