Gynaecology and Obstetrics Section

SHOULDER FLEXION

Shoulder flexion posture

• This type of dystocia may be unilateral or bilateral.
• The diagnosis of bilateral retention is usually obvious by observing that the head is partly or completely born, but there is no sign of feet.

Correction

• Retropulsion is necessary and if the head is much swollen, the calf being dead the head should be amputated outside the vulva.
• Following repulsion the calf forearm is grasped and the defect is easily converted into carpal flexion and the relived.

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