Acute Care 35: Shoulder Dystocia Acronym
HELPERR
The mnemonic to remember in shoulder dystocia is HELPERR.
H—HELP
E—Consider Episiotomy
Legs—(McRobert’s
maneuver)
Pressure—(Suprapubic
pressure externally)
Enter—(Enter
the vagina using internal pressure to reduce impacted shoulder, finally
using a Wood’s screw maneuver to bring the shoulders into
oblique diameter and 180 degrees rotation, if necessary.)
Remove—the
posterior arm. Finally, if all other maneuvers fail,
cephalic replacement may be used in certain circumstances.
R—Rotate the
patient to her hands and knees.
ALSO Mnemonic Reference Cards; 2005. http://www.aafp.org/also.xml