RE: [ozmidwifery] question

[Mary Murphy]

Jennifer Cameron wrote “The signs of shoulder dystocia are evident before the head is crowned and then the 'turtle' sign appears and clinches the diagnosis so it is full steam ahead and get that baby born” My understanding is that the head retraction on the perineum is the main sign. I realize that  a large baby “could” be one, as is slow 2nd stage in the perineal phase, but these accompany many normal births too.   .  Could you please list the signs that are evident before the head is crowned and also the reference?  Thanks, MM.  PS, a grandmultip client of mine recently birthed a 5.3kg, HC 40cm, Length 60 cm, with no problems.  Had to stand up to do it tho.   Remember the placenta is beginning to separate at the point of the head being born so the baby is dying of hypoxia and acidosis. ALSO are probably correct on not waiting for restitution.. You could wait all day for restitution and end up with a dead baby.