My very first delivery as an ob/gyn intern was complicated by a severe shoulder dystocia. Fortunately for me, my attending was highly experienced. He methodically employed recently popularized maneuvers such as McRoberts and Wood's before attempting to deliver the posterior arm—all to no avail. As my pulse quickened, he ultimately intentionally fractured the clavicle to effect delivery. Much to my surprise, there was no evidence of a neonatal brachial plexus palsy (NBPP).
展开▼
