SYMPHYSEAL SEPARATION AND TRANSIENT FEMORAL NEUROPATHY ASSOCIATED WITH THE MCROBERTS MANEUVER

Many authors have recommended the McRoberts' maneuver as the initial t echnique in the management of shoulder dystocia. There have been, howe ver, no reported adverse maternal outcomes associated with this techni que. We report a case of symphyseal separation and transient femoral n europathy associated with the McRoberts' maneuver. An overly exaggerat ed lithotomy position and thigh abduction stretches the articular surf aces of the symphysis pubis and places increased pressure on the femor al nerve by the overlying inguinal ligament.