“SHOULDER DYSTOCIA: TAKING THE FEAR OUT OF MANAGEMENT”
JOHN T. REPKE, MD, AND RONALD T. BURKMAN, MD (WEB EXCLUSIVE; APRIL 2016)
Montgomery maneuver for shoulder dystocia
In managing shoulder dystocia, my maneuver is to use my elbow to maximize mechanical advantage when applying suprapubic pressure to push the trapped shoulder down. It works well and is more efficient than having a nurse standing off to the side.
J.S. Montgomery, MD
Cypress, Texas
Photo courtesy of J.S. Montgomery, MD.
Dr. Barbieri responds
I thank Dr. Montgomery for sharing his maneuver for dislodging the trapped anterior shoulder by using his elbow to apply suprapubic pressure. There is vast knowledge and experience in our clinical community, and sharing insights is helpful to all our readers.
Share your thoughts! Send your Letter to the Editor to rbarbieri@frontlinemedcom.com. Please include your name and the city and state in which you practice.