Video 5:

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The goal of Rubin’s maneuver, which involves the repositioning of the biacromial width to either oblique diameter, is to reestablish the physiologic orientation of the shoulders within the birth canal after the head has restituted. Rubin’s maneuver can be applied to either the anterior shoulder (in coordination with suprapubic pressure) or to the posterior shoulder (in coordination with McRoberts’ maneuver). It is the mechanically superior initial maneuver to use in response to shoulder dystocia, since it reduces the magnitude of subsequent traction applied to the head and is associated with less stretch of the brachial plexus compared to McRoberts’ maneuver utilized without concomitant rotation of the shoulders.