McRoberts Manouvre

 <Procedures>

<Index>

 

Definition

-   

 

Features

-  Increases inlet diameter

-  Flattens sacrum, moves symphysis cephalad

-  Decreases angle of curve of Carus

-  Increases intra-uterine pressure

-  Changes vector of maternal effort

-  Approximated diaphragm to fundus

-  40-60% success rate for manageing shoulder dystocia

 

Indications

-  Shoulder dystocia

-  Secondary arrest

 

Procedure

-  Bed head down, end of bed off

-  Flex hips & knees to chest

 

McRoberts

 

 

 

References