Step Three – Primary Maneuvers:
McRoberts maneuver
Patient positioned with hips at edge of the broken-down birthing bed
Both hips are sharply flexed with knees remaining flexed (“knees to shoulders”)
Ideally performed by staff, not family, to assure it is adequately performed
No benefit to “prophylactic.....

Apply pressure to the fetal scapula to effect rotation of the shoulders out of the vertical orientation
As fetus rotates, anterior shoulder should pass under ....