What maneuver is typically employed to resolve fetal shoulder dystocia?

Suprapubic pressure is commonly used to resolve shoulder dystocia during childbirth. This maneuver involves applying pressure just above the pubic bone in an attempt to dislodge the anterior shoulder of the fetus from behind the mother's pelvic bone. By pushing downward and possibly a little laterally, the healthcare provider can help facilitate the fetal body's movement, allowing the shoulder to slip free and assist in delivering the baby.

This technique is effective because it targets the specific issue of shoulder dystocia, where the shoulder becomes impacted. It’s also a relatively non-invasive method that can be quickly implemented in an emergency situation. The benefits of using suprapubic pressure include minimizing stress on both the mother and the baby compared to more invasive techniques.

While other options may have their applications in obstetric care, they are not standard maneuvers specifically indicated for shoulder dystocia. For example, the hands and knees position can aid in changing the pelvic dynamics but is not the first line approach for addressing shoulder dystocia. Tailbone pressure and episiotomy are not typically effective in relieving shoulder dystocia and may pose additional risks to both the mother and the infant. Therefore, suprapubic pressure stands out as the appropriate choice for this situation.