When might the "Rotate for arms" step in the CAREFUL mnemonic become necessary during delivery?

The "Rotate for arms" step in the CAREFUL mnemonic becomes necessary following the delivery of the fetal head because at this stage, the provider must ensure that the fetal body can be delivered effectively and safely. Once the head is delivered, there can be scenarios where the shoulders may be impacted by the maternal anatomy or the positioning of the fetus. By rotating the fetal body, the provider can help to align the shoulders with the birth canal, thus facilitating the successful and safe delivery of the rest of the neonate.

This step is crucial in reducing the risk of shoulder dystocia, which occurs when the shoulders become stuck after the head has been delivered. Proper maneuvering at this stage can help to alleviate any complications and ensure that the delivery proceeds smoothly. Furthermore, applying the correct techniques during this critical moment can significantly benefit both the mother and the newborn, highlighting the importance of this step in the CAREFUL mnemonic during the delivery process.