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Rubin II
Rubin's I and II maneuvers, rotational maneuver to deliver the baby in case of shoulder dystocia. The Rubin's I maneuver is dislodging the anterior shoulder under pubic symphysis by adding suprapubic pressure while in the McRoberts maneuver, McRoberts' position. As a result, the bisacromial diameter is rotated from anteroposterior to oblique lie. The Rubin's II maneuver, usually performed after all other exterior maneuvers are exhausted (including McRoberts maneuver, McRoberts' and Gaskin maneuver, Gaskin's) is performed by inserting one hand vaginally behind the posterior aspect of anterior shoulder of the baby and rotating the shoulder towards the chest of the baby, shifting it from the anterior-posterior pelvic diameter into the oblique pelvic diameter and dislodging it from behind the symphysis pubis. If ineffective, this may progress to the Wood's screw maneuver, Wood's screw, Reverse Wood's screw, or sweeping the foetal arm. File:ShoulderDystociaFig1.jpg, Step 1: Index ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Shoulder Dystocia
Shoulder dystocia occurs after vaginal delivery of the head, when the baby's anterior shoulder is obstructed by the mother's pubic bone. It is typically diagnosed when the baby's shoulders fail to deliver despite gentle downward traction on the baby's head, requiring the need of special techniques to safely deliver the baby. Retraction of the baby's head back into the vagina, known as "turtle sign" is suggestive of shoulder dystocia. It is a type of obstructed labour. Although most instances of shoulder dystocia are relieved without complications to the baby, the most common complications may include brachial plexus injury, or clavicle fracture. Complications for the mother may include increased risk of vaginal or perineal tears, postpartum bleeding, or uterine rupture. Risk factors include gestational diabetes, previous history of the condition, operative vaginal delivery, obesity in the mother, an overly large baby, and epidural anesthesia. Shoulder dystocia is an obste ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
