McRoberts Maneuver
Pronunciation: mik-ROB-erts
Emergency obstetric positioning technique involving extreme hip flexion to manage shoulder dystocia.
Full Definition
The McRoberts maneuver is an emergency obstetric technique used to manage shoulder dystocia by hyperflexing the maternal hips toward the abdomen, flattening the lumbar lordosis and rotating the pelvis. This maneuver increases the functional size of the pelvic outlet and may facilitate delivery of the impacted anterior shoulder. From an anesthetic perspective, the McRoberts position may compromise ventilation due to increased abdominal pressure against the diaphragm and can affect the distribution of neuraxial medications. Anesthesiologists must be prepared to manage potential airway and ventilatory challenges while maintaining maternal stability during this emergency intervention.
Usage
Usage note: Document respiratory and hemodynamic effects when this emergency maneuver is performed.
In Context
- "Shoulder dystocia required McRoberts maneuver with anesthetic support for maternal positioning." — Emergency delivery documentation
- "The McRoberts maneuver was performed under epidural anesthesia with careful respiratory monitoring." — Complicated delivery report