Question

All of the following maneuvers are used in shoulder dystocia, except:

• A. Woods corkscrew maneuver
• B. McRoberts maneuver
• C. Suprapubic pressure
• D. Mauriceau-Smellie-Veit maneuver

Hint:

Which listed maneuver actually belongs to vaginal breech delivery of the after-coming head?

Answer 1

The Correct Option is D

Shoulder dystocia happens when the baby's head is born but the front shoulder catches on the mother's pubic bone, so the rest of the body will not follow with gentle pulling. Doctors run through a set drill to release that shoulder. The first move is McRoberts, where the mother's legs are bent sharply up toward her chest; this tilts the pelvis and opens space. Next, an assistant presses just above the pubic bone (suprapubic pressure) to nudge the trapped shoulder sideways and down. If that fails, the Woods corkscrew is tried, where the operator places fingers behind the baby's shoulders and rotates the body like a screw to bring a shoulder out from under the bone. All three of these belong to the shoulder dystocia toolkit. The odd one out is the Mauriceau-Smellie-Veit maneuver. That technique is for a breech birth: the baby comes bottom first and the head is the last part to deliver, so the operator supports the body on the forearm and applies controlled flexion to the after-coming head. It has nothing to do with a stuck shoulder in a head-first birth. Therefore the maneuver NOT used in shoulder dystocia is the Mauriceau-Smellie-Veit maneuver. \[\boxed{\text{Mauriceau-Smellie-Veit maneuver}}\]