(Click the link to comment and to vote – voting not working through email, sorry!)

A 17 year old G1P0 girl at 38 weeks gestation presents in active labor, crowning. OB has been called but is responding from home and won’t be there for 20 minutes. The head delivers, but the baby then has the “turtle sign” with fetal head retracting against the perineum.

Which of the following is a useful maneuver for shoulder dystocia?