••• Chapter 6^ Operative Obstetrics Pearls^73
(6) Advanced maternal age.
(7) Excessive weight gain.
(8) Prior shoulder dystocia.
(9) Platypoid pelvis or contracted pelvis.
(10) Prior macrosomic infant.❍ What is the first necessity in the management of shoulder dystocia?
Additional help is summoned, including anesthesia and pediatrics.
❍ What is the name of the maneuver in which the legs are sharply flexed upon the abdomen in an attempt
to relieve shoulder dystocia?
McRoberts maneuver.
❍ What is a common iatrogenic risk factor for the development of puerperal hematomas?
Episiotomy, predominantly left medial lateral.
❍ True or False: A history of shoulder dystocia is associated with an increased recurrence rate but the studies
vary widely in risk, ranging from 1% to 16.7%.
True.
❍ True or False: Fundal pressure may further worsen impaction of the shoulder during a shoulder dystocia
and also may result in uterine rupture.
True.