Shoulder Dystocia – MCQ

1. Ms. Rebecca, primipara low risk pregnancy, delivered yesterday is for discharge. Her labour was complicated by shoulder dystocia. Her baby had fracture clavicle, managed conservatively, otherwise baby is doing good. She is asking you about the recurrence of shoulder dystocia in future pregnancies.

2. Sara, low risk multiparous lady in her third pregnancy, she has been low risk, EFW was 2800gms. She planned home delivery with her midwife Ms, Angel. Sara had spontaneous onset of labour, progressed well, delivered baby head but Ms. angel noticed difficulty with delivery of the face and chin & head started retracting. Midwife positioned Sara’s thighs on her abdomen and tried with axial traction. It wasn’t successful. What is best manoeuvre Angel should try in this Situation?

3. Mrs Sara, low risk multiparous lady in her third pregnancy, she has been referred by midwife to hospital as she baby has EFW of 4500gms. Mrs. Sara had spontaneous onset of labour, progressed well, delivered baby head but Midwife noticed difficulty with delivery of the face and chin & head started retracting. Called for help and Midwife brought her to the edge and positioned thighs on her abdomen and tried with axial traction. Baby’s anterior shoulder released and delivered.
What is the normal success aren’t of this manoeuvre?