McRoberts maneuver

But if she is on land, I would be suggesting that she gets into some kind of exaggerated lunge position.

We sometimes call this like a runner's start position or get one leg up or knee up high onto something like a couch or a stool or some kind of deep squat position or even just a bit, a few big deep squats like squatting down and then standing up and squatting down, which if you're a midwife, you'll know also that one of the maneuvers, the McRoberts maneuver, is done by a woman lying on her back and bringing her knees up to her boobs.

So getting her in actually an upright squatting position is not dissimilar to a McRoberts position, except that her pelvis and tailbone are free to move because she's not obstructed by the bed.

So those are your first initial si- signs of shoulder dystocia, that there's this slow gradual birth of the baby's head as if it's working really hard just to get its head born and the, the head is not fully born up past the chin.

And this I will talk to you about a little bit later, but that's called a turtle sign.

So, so another thing that I've seen a midwife do is there are woman standing up, and she gets her to do sort of a deep squat and then stand up again, and then another deep squat and stand up again, and then change position again.

Again, it's all about dynamic movement of the pelvis to try and dislodge the baby in the most gentle way possible so that the baby's not damaged.

And this is why clinicians use McRoberts.