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How do you treat shoulder dystocia?

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The steps to treating a shoulder dystocia are outlined by the mnemonic ALARMER: Ask for help. Leg hyperflexion and abduction at the hips (McRoberts maneuver) Anterior shoulder disimpaction (suprapubic pressure) Rotation of the shoulder (Rubin maneuver) Manual delivery of posterior arm. Episiotomy. Roll over on all fours.
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