The ABC of Shoulder Dystocia Management

Samuel Lurie*, Alon Ben‐Arie, Zion Hagay

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

20 Scopus citations


In this retrospective study we analyzed our experience in management of 76 consecutive cases of shoulder dystocia. In most cases (N = 67, 88.2%) McRoberts' maneuver was sufficient in order to deliver the impacted shoulders. In 2 cases (2.6%) in addition to McRoberts' maneuver suprapubic pressure was applied. In 7 cases (9.2%) Woods' maneuver was performed after the McRoberts' maneuver and the suprapubic pressure. Based on our experience and upon careful review of the literature we propose the optimal “ABC” for the management of shoulder dystocia. It includes A) McRoberts' maneuver, B) Suprapubic pressure, C) Woods' maneuver, D) Delivery of posterior arm. We emphasize that the shoulder dystocia situation is a major emergency in obstetrics and that its management requires prompt resuscitation of the fetus during the process of its delivery.

Original languageEnglish
Pages (from-to)195-197
Number of pages3
JournalJournal of Obstetrics and Gynaecology Research
Issue number2
StatePublished - Jun 1994
Externally publishedYes


  • labor
  • management
  • shoulder dystocia


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