What is the appropriate management approach for shoulder dystocia?

The McRoberts maneuver is an essential technique for managing shoulder dystocia effectively. This maneuver involves sharply flexing the mother's legs tightly to her abdomen. This positioning increases the pelvic diameter and can help to release the baby's shoulder that is impacted against the pubic symphysis. By enhancing the angle of the pelvis, the McRoberts maneuver allows for better alignment of the baby's shoulders, which can facilitate safe delivery.

In cases of shoulder dystocia, immediate delivery is not realistic, as delivering a baby with impacted shoulders can lead to severe complications. Suctioning is not relevant to relieving the obstruction caused by shoulder dystocia, as it does not address the physical position of the shoulders. While administering oxygen can be beneficial in supporting the mother's systemic health during delivery, it does not specifically address the issue of shoulder dystocia itself. Thus, the McRoberts maneuver stands out as the most effective immediate intervention to resolve this obstetric emergency and facilitate the birth of the baby.