What is the essential initial step when managing a case of shoulder dystocia?

In the management of shoulder dystocia, the essential initial step is to call for help. This situation poses an immediate threat to the well-being of both the mother and the baby, and effective management often requires additional personnel. By calling for help, the healthcare provider ensures that there are enough trained individuals available to assist with the maneuvering process to relieve the dystocia. Having extra hands can be crucial for enabling various techniques, such as the McRoberts maneuver or suprapubic pressure, to facilitate successful delivery while maintaining the safety of the newborn.

Additionally, the urgency of the scenario means that quick access to expertise and support can make a significant difference in outcomes. The presence of a multidisciplinary team can also offer broader skills and knowledge, improving the chances for a successful resolution. Thus, mobilizing a team is a foundational step in managing this obstetric emergency.