Vaginal Breech Delivery – Delivery of the Arms
Step by step
Delivery of the Arms
It is advised to proceed with maneuvers to deliver the arms if they become impacted during the course of a normal breech delivery or as part of a partial breech extraction. There are four maneuvers by which the arms of the fetus that are impacted in the pelvis may be delivered: the classical maneuver; the Mueller maneuver; the Lovset maneuver and the Sellheim maneuver.
Take note that the most favorable moment to perform the delivery of the arms is when the inferior angles of the scapulae are visible. At that point, as is shown in this simulation on a baby doll, the arms are close enough to be reached by the healthcare professionals fingers and the head and arms have not descended too far into the pelvis to be completely impacted. As is simulated here.
Also take note that the fetus is never held by the flanks or abdomen when performing any of the maneuvers for the delivery of the arms, since this may cause injury to the kidneys or liver of the fetus.
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