I thought this was an incredible video of a shoulder dystocia at a home birth:
Watch it all the way to the end. You need to hear the birth weight! And, that the mom didn’t even need stitches!
This is a great example of the McRoberts maneuver, (with violins!) which is a technique of positioning a delivering woman’s legs way flexed up towards her ears. There are also some other cool aspects of the video. She was pushing on hands and knees. So, even though I have read “But, why don’t they just try the Gaskin maneuver?” often in the Monday morning quarterbacking on the birth webs more often than “Why didn’t they try the McRoberts maneuver?”, the Gaskin maneuver wasn’t going to work for this woman, because she was already doing it herself.
In the hospital setting, I think the McRoberts maneuver, and then some suprapubic pressure would be the first course of action with a shoulder dystocia. I am not sure if the Gaskin maneuver is commonly used in the hospital setting. I am pretty sure you can’t put one of those simulation dummies with a shoulder dystocia in the Gaskin position, can you? I have a friend who is a midwife, and she said she and her partner put a woman standing up with one foot on a chair, Captain Morgan style, and it changed the dimensions of her pelvis in a way that helped her deliver the shoulders of the baby.
In the video, the baby is born in the amniotic sac, which is also called being born in the caul. Cool! I have never seen that. My membranes were artificially ruptured about 18 minutes before I delivered the second time. I wonder what would have happened if they weren’t? Her face is so chubby, and gets pretty purple. I don’t know if they edited the amount of time the head was out. I am guessing they did, because it wasn’t a dramatic amount of time on the video, maybe one minute, and that includes flipping her on her back.
I love the supporting cast in this video. The dad is so matter-of-fact. So unruffled. The midwives are so calm, too. Even the narrator is subdued. I try not to watch the dramatic birth shows, but I can only imagine the tone of the narration would be a little different, and they would probably put some dramatic music in the background. The only thing that gets them excited is the gender.
I wonder why the baby was so big? The mom certainly didn’t seem to be obese. Obesity is often associated with macrosomia, but plenty of obese moms deliver normally sized babies, and few have a problem with shoulder dystocia. In any case, it didn’t seem to be the case, if my non-licensed BMI judging via short YouTube video can be trusted. I wonder if she had any other kids, and what their birthweights were? I wonder if she had been diagnosed with gestational diabetes?
Speaking of birth shows, did I ever mention I was on one? I was a midwife student in a few of episodes of House of Babies. Like, for a few seconds in two of the episodes or so.