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Shoulder dystocia — PARA MCQ

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HardO&G - Labour ward emergencyShoulder dystociaPARA

A 33-year-old woman in labour has delivered the fetal head, but gentle traction does not deliver the shoulders. The fetal head retracts against the perineum. What is the most important next step?

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Correct answer: D — Call for help and initiate shoulder dystocia manoeuvres

Failure of shoulder delivery with turtle-neck sign indicates shoulder dystocia. Immediate call for help and structured manoeuvres such as McRoberts are needed; fundal pressure is avoided.

Reference: RCOG Green-top Guideline: Shoulder dystocia