McRoberts maneuver
McRoberts Maneuver
McRoberts maneuver (pronounced: mək-ˈrä-bərts mə-ˈnü-vər) is a common obstetrical procedure used to assist in childbirth when shoulder dystocia occurs. The term is named after Dr. William A. McRoberts Jr., an American obstetrician who first described the technique in 1983.
Etymology
The term "McRoberts maneuver" is derived from the name of Dr. William A. McRoberts Jr., who first described the technique. The word "maneuver" is derived from the Latin word "manuoperare", which means "to work with the hands".
Definition
The McRoberts maneuver is a simple and effective first-line intervention for shoulder dystocia, a complication during childbirth where the baby's shoulder gets stuck behind the mother's pelvic bone. The maneuver involves sharply flexing the mother's legs towards her abdomen, which changes the angle of the pelvis and allows the baby to be delivered more easily.
Related Terms
- Shoulder dystocia: A complication during childbirth where the baby's shoulder gets stuck behind the mother's pelvic bone.
- Obstetrics: The branch of medicine and surgery concerned with childbirth and the care of women giving birth.
- Pelvis: The large bony structure near the base of the spine to which the hind limbs or legs are attached in humans and many other vertebrates.
Procedure
The McRoberts maneuver is performed by having the birthing person sharply flex their legs onto their abdomen. This action causes a rotation of the pelvis that often allows the baby's shoulder to dislodge from behind the pelvic bone. The maneuver is often combined with suprapubic pressure, where a healthcare provider applies pressure just above the pubic bone to help dislodge the baby's shoulder.
Effectiveness
The McRoberts maneuver is considered a highly effective first-line intervention for shoulder dystocia. It is successful in resolving shoulder dystocia in approximately 42% to 62% of cases.
Risks and Complications
While the McRoberts maneuver is generally safe, it can cause discomfort for the birthing person. In rare cases, it may lead to maternal injuries such as pubic symphysis separation or nerve damage.
External links
- Medical encyclopedia article on McRoberts maneuver
- Wikipedia's article - McRoberts maneuver
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