15 - Obs - Obs Emergencies - Shoulder dystocia

Question 1

When additional ? req after normal downward ? has failed to deliver ? after head. 1/??? delivs, req ? and skilled help. ? traction on neck damages ?
plexus (-> waiters tip/? palsy), permanent in ?%. Delay/unskilled attempts can be ? even down to 5mins

Answer 1

manouveurs
traction
shoulders
200
urgent
excessive
brachial
Erbs
50
lethal

Question 2

Risk Factors and Prevention

Primarily a risk of a ? baby, but only >?kg in 50% cases. Antenatal predictions of ? is poor. Other factors: prev ? ?, incr ???, labour ?, low ?, maternal ?? and ? delivery. Prevention inv ? ?. Most cases unpreventable.

Answer 2

large
4
size
shoulder dystocia
BMI
induction
height
DM
instrumental
C/s

Question 3

MGMT
? and ? intervention. ?
downward traction, legs ? into abdomen (? position), ? pressure applied. Works in ?% cases. If fails, ? manoeuvres req, necessitating ?.

Answer 3

rapid
skilled
gentle
hyperextended
mcroberts
suprapubic
90%
internal
episiotomy

Question 4

MGMT
Last resorts: ? after lateral replacement of ? w metal catheter, and ? manoeuvre – replacement of the ? and then ? ?, ? damage usually irreversible.

Answer 4

symphysiotomy
urethra
zavanelli
head
C/s
fetal