Shoulder dystocia charting

And, yes, we have used Gaskin's maneuver, (and it does work!)--- but it is only useful if a person has NO epidural anesthesia. Obviously in the presence of an epidural, movement that allows us to try Gaskin's maneuver is a real problem. We have a high epidural rate, so Mc Robert's manuever is the first thing we try, then suprapubic pressure, and episiotomy.