
07/24/2025
AJOG Expert Review in Labor: A critical evaluation of the external and internal maneuvers for resolution of shoulder dystocia - All-fours position and knee-chest position
A, All-fours position (knee-hands position). The mother is supported by her hands and knees. The hips are semiflexed. The spine is horizontal. B, Knee-chest position. The mother is supported by her forearms and knees. Hence, the hips are more flexed to simulate a reverse McRoberts maneuver. The spine is downward toward the head. https://ow.ly/EJis50Rm3gE American College of Obstetricians and Gynecologists - ACOG Society for Maternal Fetal Medicine American College of Nurse-Midwives Royal College of Obstetricians and Gynaecologists RCOG