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Shoulder dystocia — DIPIMC MCQ

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ModeratePaediatric and Obstetric EmergenciesShoulder dystociaDIPIMCDipIMC

The fetal head has delivered, but the shoulders have not and are retracting against the perineum, producing the turtle sign. There is no progress with maternal effort.

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Correct answer: B — Position the mother in McRoberts with hyperflexed hips and apply suprapubic pressure.

Shoulder dystocia is first managed with the McRoberts manoeuvre, hyperflexion of the maternal hips, together with suprapubic pressure, which resolves most cases. Fundal pressure and strong axial traction risk fetal injury and further impaction. A structured sequence of further manoeuvres follows if these initial steps fail.

Reference: MBRRACE-UK