Arab Board OB GYN Final Clinical & Oral Practice Questions - Arab Board Of Health Specializations (ABHS) Obstetrics & Gynecology Final Clinical And Oral Examination Exam

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During a vaginal delivery of a 4,200 g fetus, the fetal head delivers and immediately retracts tightly against the maternal perineum ('turtle sign'). Gentle downward axial traction fails to deliver the anterior shoulder. What is the immediate first-line maneuver after calling for multidisciplinary emergency assistance and stopping maternal pushing?

Apply firm fundal pressure while traction is maintained Perform McRoberts maneuver combined with suprapubic pressure Perform the Woods screw maneuver to rotate the posterior shoulder Attempt posterior arm delivery (Jacquemier maneuver)

Correct Answer:

Perform McRoberts maneuver combined with suprapubic pressure

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