Managing Complications in Pregnancy and Childbirth: - IAWG

Shoulder dystociaS-85- Insert a hand into the vagina;- Grasp the humerus of the arm that is posterior and, keeping thearm flexed at the elbow, sweep the arm across the chest. Thiswill provide room for the shoulder that is anterior to moveunder the symphysis pubis (Fig S-27).FIGURE S-27Grasping the humerus of the arm that is posteriorand sweeping the arm across the chest• If all of the above measures fail to deliver the shoulder, otheroptions include:- Fracture the clavicle to decrease the width of the shouldersand free the shoulder that is anterior;- Apply traction with a hook in the axilla to extract the arm thatis posterior.