For shoulder dystocia, what maneuver is described in the protocol?

• A. Hyperflex the mother's knees to her chest.
• B. Place the mother in a trendelenburg position.
• C. Apply suprapubic pressure.
• D. Hyperflex the mother's knees to her chest.

Answer: (D)

In shoulder dystocia, the first and most emphasized action is the McRoberts maneuver. This means hyperflexing the mother’s hips and knees to her chest. This position changes the angle of the pelvis by flattening the lumbosacral spine and widening the pelvic outlet, which helps the anterior shoulder rotate and pass beneath the pubic symphysis. It’s quick, requires no equipment, and often relieves the impaction. If more help is needed after this, suprapubic pressure can be added, but trendelenburg positioning isn’t generally beneficial and isn’t the primary maneuver described.