When additional manouvres such as McRobert's position and suprapubic pressure are required to complete the birth of the baby, after gentle axial traction has failed to release the shoulders during a normal vaginal birth.
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RECOGNITION
Head is slow to advance over the perineum (Creeping). Turtle sign - fetal head retracts against perineum. No restitution, gentle axial traction does not facilitate the delivery.
When additional manouvres such as McRobert's position and suprapubic pressure are required to complete the birth of the baby, after gentle axial traction has failed to release the shoulders during a normal vaginal birth.
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