Fetal manipulation for management of shoulder dystocia

Edith D. Gurewitsch, Robert H. Allen

Research output: Contribution to journalReview article

12 Scopus citations


Many authors assert that there is essentially nothing that can be done to better manage shoulder dystocia. They will point to injuries that have been proven to occur spontaneously and to a stable or even rising injury rate over the last decade and claim: 1 that the risk of injury cannot be reduced 2 that no manoeuvre has been proven superior to another or guaranteed to work in all circumstances 3 that the choice and sequence of specific shoulder dystocia manoeuvres beyond McRoberts' should be left to the discretion of the birth attendant 4 that the predominant concern during shoulder dystocia is its expedient resolution, by whatever means necessary, to avoid central nervous system damage or even death.

Original languageEnglish (US)
Pages (from-to)239-280
Number of pages42
JournalFetal and Maternal Medicine Review
Issue number3
Publication statusPublished - Aug 1 2006
Externally publishedYes


ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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