Gentle Downward Traction in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#18038
SMLE Question #18038
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-OBG-PS-001
Last updated: February 2026
A 32-year-old G2P1 woman at 39+2 weeks’ gestation is in active labor. Her pregnancy is complicated by pregestational diabetes mellitus and BMI 36 kg/m². Estimated fetal weight last week was 4.3 kg. After delivery of the fetal head, the shoulders fail to deliver with gentle downward traction, and the head retracts against the perineum. What is the most appropriate next maneuver?
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