WordNet

act in order to achieve a certain goal; "He maneuvered to get the chairmanship"; "She maneuvered herself into the directorship" (同)manoeuver, manoeuvre
an action aimed at evading an opponent (同)manoeuvre, evasive action
a deliberate coordinated movement requiring dexterity and skill; "he made a great maneuver"; "the runner was out on a play by the shortstop" (同)manoeuvre, play
a military training exercise (同)manoeuvre, simulated military operation
a move made to gain a tactical end (同)manoeuvre, tactical maneuver, tactical manoeuvre

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/02/07 05:30:37」(JST)

wiki en

The McRoberts maneuver is named after William A. McRoberts, Jr.^[1] It is employed in case of shoulder dystocia during childbirth and involves hyperflexing the mother's legs tightly to her abdomen. It is effective due to the increased mobility at the sacroiliac joint during pregnancy, allowing rotation of the pelvis and facilitating the release of the fetal shoulder.^[2] If this maneuver does not succeed, an assistant applies pressure on the lower abdomen (suprapubic pressure), and the delivered head is also gently pulled. The technique is effective in about 42% of cases.^[3]

References

^ Gonik, B.; Stringer, C. A.; Held, B. (1983). "An alternate maneuver for management of shoulder dystocia". American journal of obstetrics and gynecology 145 (7): 882–884. PMID 6837666.
^ Gherman, R. B.; Tramont, J.; Muffley, P.; Goodwin, T. M. (2000). "Analysis of McRoberts' maneuver by x-ray pelvimetry". Obstetrics and gynecology 95 (1): 43–47. doi:10.1016/s0029-7844(99)00445-7. PMID 10636500.
^ Kish, Karen; Joseph V. Collea (2003). "Malpresentation & Cord Prolaps (Chapter 21)". In Alan H. DeCherney. Current Obstetric & Gynecologic Diagnosis & Treatment. Lauren Nathan (Ninth ed.). Lange/McGraw-Hill. pp. 381–382. ISBN 0-07-118207-1. |access-date= requires |url= (help)

This medical treatment–related article is a stub. You can help Wikipedia by expanding it.

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 肩甲難産：分娩時の診断、マネージメント、および結果 shoulder dystocia intrapartum diagnosis management and outcome
2. 肩甲難産：リスクがある妊娠における危険因子および出産計画 shoulder dystocia risk factors and planning delivery of at risk pregnancies

English Journal

A Multicenter Assessment of 1,177 Cases of Shoulder Dystocia: Lessons Learned.

Chauhan SP, Laye MR, Lutgendorf M, McBurney JW, Keiser SD, Magann EF, Morrison JC.SourceDepartment of Obstetrics and Gynecology, Eastern Virginia Medical Center, Norfolk, Virginia.
American journal of perinatology.Am J Perinatol.2013 Jul 24. [Epub ahead of print]
The purposes of this review were to describe deliveries complicated by shoulder dystocia (SD) at three tertiary centers and discern the differences between SD with and without brachial plexus injury (BPI). The inclusion criteria for this multicenter, retrospective study were singletons, delivered va
PMID 23884717

A comparison of obstetric maneuvers for the acute management of shoulder dystocia.

Hoffman MK, Bailit JL, Branch DW, Burkman RT, Van Veldhusien P, Lu L, Kominiarek MA, Hibbard JU, Landy HJ, Haberman S, Wilkins I, Quintero VH, Gregory KD, Hatjis CG, Ramirez MM, Reddy UM, Troendle J, Zhang J; Consortium on Safe Labor.SourceDepartment of Obstetrics and Gynecology, Christiana Care Health System, Newark, Delaware, USA. Mhoffman@Christianacare.org
Obstetrics and gynecology.Obstet Gynecol.2011 Jun;117(6):1272-8. doi: 10.1097/AOG.0b013e31821a12c9.
OBJECTIVE: To assess the efficacy of obstetric maneuvers for resolving shoulder dystocia and the effect that these maneuvers have on neonatal injury when shoulder dystocia occurs.METHODS: Using an electronic database encompassing 206,969 deliveries, we identified all women with a vertex fetus beyond
PMID 21555962

Posterior arm shoulder dystocia alleviated by the Zavanelli maneuver.

Gherman RB, Ouzounian JG, Chauhan S.SourceDepartment of Obstetrics and Gynecology, Division of Maternal/Fetal Medicine, Prince George's Hospital Center, Cheverly, Maryland, USA. ghermdoc@gmail.com
American journal of perinatology.Am J Perinatol.2010 Oct;27(9):749-51. doi: 10.1055/s-0030-1253559. Epub 2010 Apr 22.
The exact role of the Zavanelli maneuver for the management of shoulder dystocia still remains to be defined. None of the previously reported cases in which the Zavanelli maneuver has been employed described impaction of posterior fetal arm. At 40 weeks' gestation, a nulliparous patient with gestati
PMID 20414853