title: Shoulder dystocia: a qualitative exploration of what works.
abstract: OBJECTIVE
  to explore expert practitioners' methods of managing shoulder dystocia.
  
  
  METHODS
  a qualitative interpretive study enabled a descriptive, hermeneutic analysis of data collected. Data were collected via tape recorded interviews, transcribed and analysed to explore themes and meanings.
  
  
  METHODS
  five clinicians (four midwives and one obstetrician) who have significant experience in the management of shoulder dystocia and work in high risk maternity practice.
  
  
  RESULTS
  
  
  
  CONCLUSIONS
  the results of this study demonstrate that the actions to be taken in the event of shoulder dystocia should be further examined and possibly reviewed. The three simple steps of McRoberts Manoeuvre - Suprapubic Pressure - Axillary Traction could revolutionise the way in which shoulder dystocia is managed.
authors.affiliation: Middlemore Hospital, Private Bag 93311, Otahuhu, Auckland 1640, New Zealand. lesley.ansell@xtra.co.nz
authors.forename: Lesley
authors.initials: L
authors.lastname: Ansell Irving
authors.forename: Judith
authors.initials: J
authors.lastname: McAra-Couper
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Smythe
mesh_terms: D001720:Birth Injuries / Q000517:prevention & control; D002983:Clinical Competence; D036861:Delivery, Obstetric / Q000379:methods*; D004420:Dystocia / Q000628:therapy*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008880:Midwifery / Q000379:methods*; D009774:Obstetrics / Q000379:methods*; D011247:Pregnancy; D036301:Qualitative Research; D013637:Tape Recording; D014710:Version, Fetal