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. Author manuscript; available in PMC: 2024 Mar 11.
Published in final edited form as: Am J Obstet Gynecol. 2023 Aug 15;230(3 Suppl):S1014–S1026. doi: 10.1016/j.ajog.2022.03.016

Figure 5:

Figure 5:

Figure 5:

A: If the mother is able to support herself, turning to an all-fours position may dislodge or reorient the impacted anterior shoulder; however, the clinician must confirm this with direct palpation or rotation. B: Customary traction with symmetric pressure applied to the head with the mother on all fours delivers the posterior shoulder and thereby releases the obstructed anterior shoulder.