Rubin Maneuver
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Rubin Maneuver
Rubin's I and II maneuvers, rotational maneuver to deliver the baby in case of shoulder dystocia. The Rubin's I maneuver is dislodging the anterior shoulder under pubic symphysis by adding suprapubic pressure while in the McRoberts maneuver, McRoberts' position. As a result, the bisacromial diameter is rotated from anteroposterior to oblique lie. The Rubin's II maneuver, usually performed after all other exterior maneuvers are exhausted (including McRoberts maneuver, McRoberts' and Gaskin maneuver, Gaskin's) is performed by inserting one hand vaginally behind the posterior aspect of anterior shoulder of the baby and rotating the shoulder towards the chest of the baby, shifting it from the anterior-posterior pelvic diameter into the oblique pelvic diameter and dislodging it from behind the symphysis pubis. If ineffective, this may progress to the Wood's screw maneuver, Wood's screw, Reverse Wood's screw, or sweeping the foetal arm. File:ShoulderDystociaFig1.jpg, Step 1: Index ...
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Shoulder Dystocia
Shoulder dystocia is when, after vaginal delivery of the head, the baby's anterior shoulder gets caught above the mother's pubic bone. Signs include retraction of the baby's head back into the vagina, known as "turtle sign". Complications for the baby may include brachial plexus injury, or clavicle fracture. Complications for the mother may include vaginal or perineal tears, postpartum bleeding, or uterine rupture. Risk factors include gestational diabetes, previous history of the condition, operative vaginal delivery, obesity in the mother, an overly large baby, and epidural anesthesia. It is diagnosed when the body fails to deliver within one minute of delivery of the baby's head. It is a type of obstructed labour. Shoulder dystocia is an obstetric emergency. Initial efforts to release a shoulder typically include: with a woman on her back pushing the legs outward and upward, pushing on the abdomen above the pubic bone, and making a cut in the vagina. If these are not effec ...
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Pubic Symphysis
The pubic symphysis is a secondary cartilaginous joint between the left and right superior rami of the pubis of the hip bones. It is in front of and below the urinary bladder. In males, the suspensory ligament of the penis attaches to the pubic symphysis. In females, the pubic symphysis is close to the clitoris. In most adults it can be moved roughly 2 mm and with 1 degree rotation. This increases for women at the time of childbirth. The name comes from the Greek word ''symphysis'', meaning 'growing together'. Structure The pubic symphysis is a nonsynovial amphiarthrodial joint. The width of the pubic symphysis at the front is 3–5 mm greater than its width at the back. This joint is connected by fibrocartilage and may contain a fluid-filled cavity; the center is avascular, possibly due to the nature of the compressive forces passing through this joint, which may lead to harmful vascular disease. The ends of both pubic bones are covered by a thin layer of hyaline ...
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McRoberts Maneuver
The McRoberts maneuver is an obstetrical maneuver used to assist in childbirth. It is named after William A. McRoberts, Jr. It is employed in case of shoulder dystocia during childbirth and involves hyperflexing the mother's legs tightly to her abdomen. It is effective due to the increased mobility at the sacroiliac joint during pregnancy, allowing rotation of the pelvis and facilitating the release of the fetal shoulder. If this maneuver does not succeed, an assistant applies pressure on the lower abdomen (suprapubic pressure). Current guidelines strongly recommend against pulling on the infants head, as this could lead to brachial plexus injury. Instead, support while keeping the neck straight is indicated. The technique is effective in about 42% of cases. Note that suprapubic pressure and McRobert's maneuver together will resolve 90% of cases. See also * Wood's screw maneuver * Zavanelli maneuver * Shoulder dystocia Shoulder dystocia is when, after vaginal delivery ...
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Oblique Lie
Oblique may refer to: * an alternative name for the character usually called a slash (punctuation) ( / ) *Oblique angle, in geometry *Oblique triangle, in geometry *Oblique lattice, in geometry * Oblique leaf base, a characteristic shape of the base of a leaf *''Oblique angle'', a synonym for Dutch angle, a cinematographic technique * ''Oblique'' (album), by jazz vibraphonist Bobby Hutcherson * ''Oblique'' (film), a 2008 Norwegian film * ''Oblique'' (Vasarely), a 1966 collage, by Victor Vasarely * Oblique banded rattail, a fish also known as a rough-head whiptail *Oblique case, in linguistics *Oblique argument, in linguistics *Oblique correction, in particle physics *Oblique motion, in music *Oblique order, a military formation *Oblique projection, in geometry and drawing, including cavalier and cabinet projection *Oblique reflection, in Euclidean geometry *Oblique shock, in gas dynamics *Oblique type, in typography *Oblique wing, in aircraft design *Oblique icebreaker, a special ty ...
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Gaskin Maneuver
Ina May Gaskin (born March 8, 1940) is an American midwife who has been described as "the mother of authentic midwifery."Granju, K.A. (1999"The Midwife of Modern Midwifery"Salon.com, Brilliant Careers. She helped found the self-sustaining community, The Farm, with her husband Stephen Gaskin in 1971 where she markedly launched her career in midwifery. She is known for the Gaskin Maneuver, has written several books on midwifery and childbirth, and continues to educate society through lectures and conferences and spread her message of natural, old-age inspired, fearless childbirth. Early life and family Family Gaskin was born to an Iowa Protestant family (Methodist on one side, Presbyterian on the other). Her father, Talford Middleton, was raised on a large Iowa farm, which was lost to a bank not long after his father's accidental death in 1926. Her mother, Ruth Stinson Middleton, was a home economics teacher, who taught in various small towns within a forty-mile radius of Mars ...
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Wood's Screw Maneuver
Wood's screw maneuver is practiced in obstetrics when dealing with shoulder dystocia – a condition in which the fetal shoulders cannot easily pass through the vagina. In this maneuver the anterior shoulder is pushed towards the baby's chest, and the posterior shoulder is pushed towards the baby's back, making the baby's head somewhat face the mother's rectum. This maneuver is tried only after the McRoberts maneuver, and application of suprapubic (lower abdomen) pressure have been tried. It is named after Wood, who was the first to examine this maneuver in detail. See also * McRoberts maneuver * Zavanelli maneuver * Shoulder dystocia Shoulder dystocia is when, after vaginal delivery of the head, the baby's anterior shoulder gets caught above the mother's pubic bone. Signs include retraction of the baby's head back into the vagina, known as "turtle sign". Complications for the ... * The mechanics of birth References {{Obstetrical procedures Obstetrical procedures< ...
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Reverse Wood's Screw
Reverse or reversing may refer to: Arts and media * ''Reverse'' (Eldritch album), 2001 * ''Reverse'' (2009 film), a Polish comedy-drama film * ''Reverse'' (2019 film), an Iranian crime-drama film * ''Reverse'' (Morandi album), 2005 * ''Reverse'' (TV series), a 2017–2018 South Korean television series *"Reverse", a 2014 song by SomeKindaWonderful *REVERSE art gallery, in Brooklyn, NY, US *Reverse tape effects including backmasking, the recording of sound in reverse * '' Reversing: Secrets of Reverse Engineering'', a book by Eldad Eilam *''Tegami Bachi: REVERSE'', the second season of the ''Tegami Bachi'' anime series, 2010 Driving * Reverse gear, in a motor or mechanical transmission * Reversing (vehicle maneuver), reversing the direction of a vehicle * Turning a vehicle through 180 degrees Sports and games *Reverse (American football), a trick play in American football *Reverse swing, a cricket delivery *Reverse (bridge), a type of bid in contract bridge Technology *Reverse ...
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