This ballad poem, published in 1819, is just one version of the classic folktale. As in many ballads, the refrains of Keats' poem act as a sort of argumentation.
In 1976, Ina May Gaskin described a maneuver for the resolution of shoulder dystocia that involves placing the gravid mother on her hands and knees. (Bruner, 1998) used this procedure in 82 deliveries complicated by shoulder dystocia and was able to resolve it in 68 cases (82%) with this maneuver alone.hile it is incumbent upon all obstetricians to know about the Zavanelli maneuver and how to perform it when a difficult shoulder dystocia occurs, its significant potential for fetal and maternal injury must relegate it to the status of a last ditch procedure.
Some have suggested that the definition of true shoulder dystocia requires that an obstetrician had to perform special maneuvers in order to deliver the shoulders. Exactly how shoulder dystocia is defined is more than just a semantic issue. It sets the parameters for the collection of statistics related to shoulder dystocia, a necessity for research aimed at decreasing shoulder dystocia related injuries.