If McRobert’s maneuver and suprapubic pressure do
not release the shoulder, the birth attendant may use
Rubin’s maneuver, Wood’s screw maneuver, or several
other techniques. There is no correct order or
superior order for maneuver use; however, fundal pressure
should be avoided. Fundal pressure is steady
pressure exerted by one hand pushing on the uterine
fundus, assisting movement of the fetus down the
birth canal. It may cause or further aggravate a shoulder
dystocia. The perinatal nurse has the right to
refuse an order to do fundal pressure during a shoulder