During a vaginal delivery of a macrosomic baby (estimated 4.5 kg), the head delivers but the shoulders are impacted at the symphysis. After calling for help, what is the correct sequence of maneuvers: McRoberts position, suprapubic pressure, Rubin II / Woods screw, delivery of posterior arm, Zavanelli? At what point do we consider Zavanelli maneuver, and what neonatal injuries must be documented?
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