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Løvset manoeuvre

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

1. The Løvset manoeuvre is used to deliver the shoulders in a breech presentation, when the arms are extended. The baby is held by the hips and turned half a circle, keeping the back uppermost and applying downward traction at the same time, so that the arm that was posterior becomes anterior and can be delivered under the pubic arch. Delivery of the arm is assisted by placing one or two fingers on the upper part of the arm. Draw the arm down over the chest as the elbow is flexed, with the hand sweeping over the face. To deliver the second arm, the baby is rotated back half a circle, keeping the back uppermost and applying downward traction the second arm is delivered in the same way under the pubic arch.

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