What mechanism does the Gaskin maneuver enhance during delivery in shoulder dystocia cases?

The Gaskin maneuver is designed to take advantage of gravity during the delivery process, especially in cases of shoulder dystocia. By having the mother adopt a hands-and-knees position, the maneuver alters the mechanics of delivery and allows for a better alignment of the fetal shoulders with the birth canal. This position can help create more space within the pelvis, which may facilitate the descent of the fetal shoulders and assist in resolving the dystocia.

Gravity plays a critical role in this approach, as it can help to free the impacted shoulder and enable a more effective delivery. The use of gravity in this manner contributes significantly to the success of the maneuver, making it an essential element in managing shoulder dystocia effectively.