skip to main content

Shoulder dystocia — DRCOG MCQ

Instant feedback + full explanation. One question, done properly.

HardIntrapartum CareShoulder dystociaDRCOG

A multiparous woman has just delivered the fetal head at home with paramedics present. The head retracts against the perineum and gentle traction does not deliver the shoulders. The baby is not yet born. What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: A — Call for emergency help and use McRoberts manoeuvre

Shoulder dystocia is an obstetric emergency; immediate help and first-line manoeuvres such as McRoberts with suprapubic pressure are appropriate. Fundal pressure can worsen impaction and is avoided. Waiting passively risks fetal hypoxia. The pearl is that the first response is simple, structured and time-critical.

Reference: RCOG Green-top Guideline No. 42