Solutions2
HELPERR mnemonic - ANSWERS-Help, ask for help
Evaluate for episiotomy
Legs, McRoberts
Pressure, pelvic
Enter, maneuvers Rubins II
Remove posterior arm
Roll pt to hands, knees
CAREFUL mnemonic - ANSWERS-Check presentation, dilation, cord prolapse
Ask for help, sacrum anterior, await umbilicus
Rotate for arms, loveset
Enter, MSV maneuver
FLex head
Up, maintain back up
Lift baby to mother
Antenatal risk factors for shoulder dystocia - ANSWERS-- prior delivery with shoulder dystocia
- GDM or pre-existing DM
- macrosomia
- male gender
- maternal obesity
- post-dates pregnancy