2021 AMI Online Salon

Shoulder Dystocia Maneuver

Project Details

  • Entrant Name:  Gökçe Tanıyan
  • Client: Student project
  • Copyright: Gökçe Taniyan, 2021
  • Medium/software used: Procreate
  • Final presentation format: Educational poster
  • Primary Audience: Nursing and midwifery students


Project Description

The purpose of this illustration is to show the critical step of an obstetrical maneuver for midwives and nurses assisting in a case of shoulder dystocia during childbirth. Shoulder dystocia occurs after delivery of the fetal head as a result of failure of the shoulder or shoulders to displace as a result of a mismatch between the fetal shoulder size and the pelvic inlet. The shoulders remain in an anterior-posterior position due to increased resistance between the fetal and maternal pelvis, or an error of truncalrotation in a rapid delivery. The two shoulders cannot pass between the symphysis and the coccyx, and the umbilical cord becomes trapped between the shoulder and the symphysis. The image shows the patient in the McRoberts position as pressure is applied on the soft tissue on the symphysis, and the shoulder is pushed forward and freed, removing the cord from the trapped position.