OGCO-C3.11 Shoulder dystocia

Question 1

Factors associated with shoulder dystocia
Prepregnancy, antepartum, intrapartum

Answer 1

Question 2

How to recgonize early shoulder dystocia?

Answer 2

• Slow descent and progression during instrumental delivery
• Difficulty with delivery of face and chin
• Head remained tightly applied to vulva or even retracting “Turtle-necking”
• There is no external rotation of the head to the transverse position after the initial restitution
• Failure of descent of anterior shoulder

Question 3

What is the Mx of shoulder dystocia?

Answer 3