|
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 ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
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 e ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
