امرأة حامل في الأسبوع ٣٩ أثناء الولادة، خرج رأس الطفل لكن الكتفين علقا، والرأس انسحب للخلف نحو العجان. ما الإجراء الأول المناسب؟

At 39 weeks during birth, the head delivers but the shoulders are stuck and the head retracts against the perineum. What is the appropriate first action?

1. Push hard on the uterine fundus to expel the baby
2. Wait for the next contraction without intervening
3. Call for help; thighs flexed with suprapubic pressure
4. Pull the head forcefully downward to free the shoulder

Answer: C) Call for help; thighs flexed with suprapubic pressure. Shoulder dystocia is an emergency: call for help, perform McRoberts manoeuvre with suprapubic pressure. Fundal pressure and forceful traction are avoided.