DYSTOCIA Flashcards
A difficult labor that can arise from any of the four main components of the labor process
Dystocia
four main components of the labor process:
Power; Passenger; Passageway; Psyche
the force that propels the fetus (uterine contractions)
Power
The fetus
Passenger
The birth canal
Passageway
the woman’s and family’s perception of the event
Psyche
is a birth problem that is increasing in incidence because the weight and therefore the size of newborns is increasing
Shoulder Dystocia
When does the shoulder dystocia happen
Second stage of labor
It is a problem when the fetal head is born but the shoulders are too broad to enter and be born through the pelvic outlet.
Shoulder dystocia
Results of Dystocia in women
Cervical and vaginal tears
Results of dystocia in infants
if the cord is compressed between the fetal
body and the bony pelvis.
Force of birth can result
fractured clavicle or a brachial plexus injury for the fetus.
Shoulder dystocia is most apt to women in?
Diabetes, Multiparas, Postdate Pregnancies
Assessment of Shoulder Dystocia
arrest of descent
Crowning then retracts during contractions (turtle sign)
Management
McRoberts maneuver
Management
McRoberts maneuver
Suprapubic pressure
The woman flexes her thighs sharply against her
abdomen, which straightens the pelvic curve
somewhat. A supported squat has a similar
effect and adds gravity to her pushing efforts.
McRoberts maneuver
Done by an assistant pushes the fetal anterior
shoulder downward to displace it from above
the mother’s symphysis pubis.
Suprapubic pressure
This should not be used because it will push the anterior shoulder even more firmly against the mother’s symphysis.
Fundal pressure
