How does the Gaskin Maneuver help?
During the Gaskin maneuver, the mother moves onto her hands and knees so that gravity can help release the baby’s posterior arm from the birth canal, leaving more space for the baby’s shoulders to pass through. This maneuver can also help widen the pelvic outlet.
How is the Zavanelli maneuver performed?
What Is the Zavanelli Maneuver? The Zavanelli maneuver is generally performed only after other attempts to free the child have failed. In this maneuver, the baby’s head is first rotated into position and then flexed. The doctor applies constant, firm pressure, pushing the head back into the birth canal.
What maneuver is used in shoulder dystocia?
The Rubin II maneuver consists of inserting the fingers of one hand vaginally behind the posterior aspect of the anterior shoulder of the fetus and rotating the shoulder toward the fetal chest. This motion will adduct the fetal shoulder girdle, reducing its diameter.
What is the Zavanelli maneuver and what is the role of the nurse?
The Zavanelli maneuver (see Figure 8) involves re- placement of the fetal head into the pelvic girdle for ex- traction by cesarean birth. A tocolytic of 0.25 mg ter- butaline is administered to reduce uterine contractions.
What is mechanical dystocia?
Both the passenger and pelvis cause abnormal labor by a mechanical obstruction, referred to as mechanical dystocia. With the third P, the power component, the frequency of uterine contraction may be adequate, but the intensity may be inadequate.
What is suprapubic pressure?
In suprapubic pressure, the doctor attempts to release the baby’s shoulder by applying pressure to the mother’s lower abdomen over the pubic bone. This is done by making a fist, placing it just above the mother’s pubic bone, and pushing the infant’s shoulder in one direction or another.
Which patient is at the highest risk for shoulder dystocia?
Risk factors for shoulder dystocia include:
- Macrosomia.
- Having preexisting diabetes or gestational diabetes.
- Having shoulder dystocia in a previous pregnancy.
- Being pregnant twins, triples or other multiples.
- Being overweight or gaining too much weight during pregnancy.
How successful is the McRoberts maneuver?
The McRoberts maneuver is effective about 42% of the time when performed alone. However, when coupled with suprapubic pressure (applying pressure to the area above the pubic bone), its effectiveness increases to 90%.
What is Ritgen’s maneuver?
Ritgen´s maneuver means that the fetal chin is reached for between the anus and the coccyx and pulled anteriorly, while using the fingers of the other hand on the fetal occiput to control speed of delivery and keep flexion of the fetal neck.