In which situation would it be appropriate to apply fundal pressure during shoulder dystocia?

Applying fundal pressure during shoulder dystocia is appropriate only when there is authorization from the delivering practitioner. This is crucial because fundal pressure can potentially impact the delivery process in significant ways, including affecting the fetal heart rate and causing distress.

The involvement of the delivering practitioner ensures that the use of fundal pressure is assessed in the context of the specific clinical situation, considering factors like the baby's size, position, and any other complications that may be present. This collaborative decision-making is essential for prioritizing the safety of both the mother and the baby during a potentially complicated delivery.

In situations where fundal pressure may be considered, such as in conjunction with other maneuvers like suprapubic pressure, it is essential that the practitioner's guidance is sought to prevent unnecessary risks. The option to apply it in non-complex deliveries or universally during every case of shoulder dystocia lacks the necessary clinical discretion and could lead to adverse outcomes.