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Mauriceau-Smellie-Veit manoeuvre

Extracted from Survival Guide to Midwifery, 2nd Edition (2012) Diane M. Fraser and Margaret A. Cooper, Oxford; Churchill Livingstone: 2012. Courtesy Elsevier

 

A manoeuvre to deliver the aftercoming head in a breech, which involves jaw flexion and shoulder traction. The baby's body is laid across the practitioner's arm and the index fingers of one hand are placed on the malar bones of the baby's face, with the middle finger pushing up towards the occiput to aid flexion. Suprapubic pressure may be applied by an assistant to increase flexion. Traction is applied to draw the head out of the vagina and, when the sub-occipital region appears, the body is lifted to assist the head to pivot around the symphysis pubis. The speed of the birth must be controlled. Once the face is free, the airways may be cleared.

 

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