This checklist provides guidance for responding to and managing shoulder dystocia during childbirth. It outlines initial steps like announcing the issue, starting timing, and calling for help. It then lists maneuvers like McRoberts and suprapubic pressure to be tried for 1 minute intervals before additional rotations or releasing the posterior arm. Further maneuvers like Gaskin position or episiotomy are also noted, along with calling an anesthesiologist if replacing the baby's head is considered necessary.

1. Checklist for Shoulder Dystocia
1.OB announce dystocia - to the room
2.Primary RN - start timing
3.Call for help – another RN, OB, Ped
4.Maneuvers
o McRoberts
o Suprapubic pressure
5 Announce time - 1 min intervals
6. Additional maneuvers
o Rotational (Woods, Rubin)
o Posterior arm
When initiating the above maneuvers, ask the patient to stop
pushing and RN to stop suprapubic. This will allow easier
insertion of the OB’s hand into the vagina.
• Further maneuvers to consider
o Gaskin position (hands and knees)
o Episiotomy
• If considering Zavenelli maneuver (replacement
of the head)
o Call anesthesiologist
o Alert techs to open OR
o Ensure uterine relaxation