Shoulder dystocia is a clinically significant complication in up to 3% of all normal vaginal deliveries, even those without risk factors. Shoulder dystocia occurs when the anterior shoulder of the fetus becomes lodged behind the maternal pubic symphysis or the posterior shoulder becomes lodged behind the maternal sacral promontory. The impaction of either shoulder impedes the descent of the fetal body and expulsion of the fetus after delivery of the fetal head. Current evidence-based guidelines from the American College of Obstetricians and Gynecologists (ACOG) recommend using the McRoberts maneuver as the initial method to resolve a shoulder dystocia. Clinician failure to recognize shoulder dystocia or perform appropriate interventions beginning with the McRoberts Maneuver can potentially lead to delayed or suboptimal management resulting in maternal and neonatal compromise. This activity reviews the role of the McRoberts maneuver, its indications, contraindications, relevant anatomy, techniques, and complications. It also highlights the interprofessional team’s role in managing shoulder dystocia and the performance of this maneuver.
- Provider:StatPearls, LLC
- Activity Link: https://www.statpearls.com/ArticleLibrary/viewarticle/24801
- Start Date: 2023-09-01 05:00:00
- End Date: 2023-09-01 05:00:00
- Credit Details: AMA PRA Category 1 Credit™️: 1.0 hours
Nursing: 1.0 hours
Pharmacy: 1.0 hours - MOC Credit Details: ABS - 1.0 Point; Credit Type(s): Accredited CME (ABS)
ABPATH - 1.0 Point; Credit Type(s): Lifelong Learning (ABPATH)
ABA - 1.0 Point; Credit Type(s): Lifelong Learning (ABA)
ABS - 1.0 Point; Credit Type(s): Self-Assessment (ABS)
ABP - 1.0 Point; Credit Type(s): Lifelong Learning and Self-Assessment (ABP) - Commercial Support: No
- Activity Type: Enduring Material
- CME Finder Type: Online Learning
- Fee to Participate: Variable
- Measured Outcome: Learner Knowledge, Learner/Team Competence
- Provider Ship: Directly Provided
- Registration: Open to all
- Specialty: All Practice Areas (e.g. ethics), General Pediatrics, General Surgery, Neonatal-Perinatal Medicine, Obstetric Anesthesia