Management of shoulder dystocia by McRoberts manoeuvre combined with suprapubic Pressure

Dr Arya Bodhe; Dr Sushil Kumar; Dr Sushree Sangita; Dr Bhakti Bawankule

Volume : VIII, Issue : XII, December - 2019

Management of shoulder dystocia by McRoberts manoeuvre combined with suprapubic Pressure

Dr Arya Bodhe, Dr Sushil Kumar, Dr Sushree Sangita, Dr Bhakti Bawankule

Abstract :

Background: Shoulder Dystocia is an uncommon and most frightening emergencies in the delivery room. Most cases occur without warning. The neonatal morbidity associated with shoulder dystocia is very high. Various methods are described to deliver the patients with impacted shoulders. McRoberts manoeuvre combined with suprapubic pressure is one of them. Aim of the study: To investigate the effectiveness of Mc Robert�s Manoeuvre with suprapubic pressure for the management of Shoulder Dystocia. Methods: A retrospective study was conducted over a period of 3 years from June 2015 to June 2018 and 25 cases of shoulder dystocia were analysed. Singleton pregnancy with cephalic presentation more than 37 weeks of gestation were included in the study. Maternal and neonatal morbidity including achial plexus injuries were recorded. Results: Mac Roberts manoeuver with suprapubic pressure were found to be most effective and least traumatic procedures in the patients having shoulder dystocia. Conclusion: The initial manoeuver of choice, in case of shoulder dystocia should be Mac Roberts manoeuver with suprapubic pressure.