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Shoulder dystocia orth

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Which is the best Maneuver<br />

• Based on<br />

– Retrospective observational studies<br />

– Limitations<br />

• Inadequate documentation<br />

• Stepwise approach: no parallel comparison<br />

• Mild shoulder <strong>dystocia</strong> delivered by first<br />

maneuver while more difficult cases left to<br />

subsequent maneuver<br />

• Complications could be related to the final as well<br />

as the preeding maneuver

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