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Professional Technical IVT

MacRobert's manoeuvre

Pronunciation: mak-ROB-erts

An emergency obstetric procedure involving extreme hip flexion to relieve shoulder dystocia.

Full Definition

MacRobert's manoeuvre is the first-line intervention for shoulder dystocia, involving hyperflexion of the mother's hips toward her abdomen while she lies supine. This position straightens the sacral curve and rotates the pelvis, effectively increasing the posterior pelvic diameter and facilitating delivery of the impacted anterior shoulder. The manoeuvre is named after the obstetricians who first described it and is often combined with suprapubic pressure.

Usage

Usage note: Spelling varies between MacRobert's and McRoberts in different texts.

In Context

  • "Shoulder dystocia was relieved with MacRobert's manoeuvre and gentle suprapubic pressure." — Delivery note
  • "The midwife immediately positioned the patient for MacRobert's manoeuvre when the shoulders failed to deliver." — Emergency delivery report

Also known as

McRoberts manoeuvre hip hyperflexion

Don't confuse with

Rubin manoeuvre Wood's screw manoeuvre

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