ObGyn Board Practice Questions - Saudi Board Obstetrics And Gynecology Final Written Exam

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During the vaginal delivery of a 4.1 kg infant to a G3P2 patient, the fetal head is delivered but immediately retracts against the perineum (turtle sign). Gentle downward traction fails to deliver the anterior shoulder. What is the immediate first step in the management of this obstetric emergency?
Correct Answer:
Hyperflex the maternal hips against the abdomen (McRoberts maneuver) and apply suprapubic pressure

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