A - ask for help (call for 'shoulders')
L - lift/hyperflex legs (McRobert's) - gives extra space at inlet (knees to ears)
A - ant shoulder disimpaction (mom should not be pushing during this)
---suprapubic presure (mazzanti)
- ask nurse to do
---vaginal shoulder pressure (Rubin)
R - rotation of posterior shoulder (Woods' corkscrew maneuver) - also get mom to stop pushing
M - manual removal of posterior arm (delivering post arm can slide ant shoulder out)
E - episiotomy (just helps w/ access to post arm/shoulder)
R - roll over on all 4 (increases size of inlet)