Shoulder Dystocia

Question 1

What are the signs of shoulder dystocia?

Answer 1

• Turtling
• Preterm pepi
• No progress

Question 2

Why does shoulder dystocia occur?

Answer 2

Due to a disproportion between the diameter of the foetus shoulders and the pelvic outlet of the mama.

Question 3

What are the risk factors for shoulder dystocia?

Answer 3

• advance maternal age - BMI . 35
• abnormal pelvis - GDM
• prolonged pregnancy - Short stature
• Prev Shoulder dystocia - Macrosomia pepi
• Asymmetric accelerated foetal growth

Question 4

What is the mnemonic?

Answer 4

• HELPERR

Question 5

H stands for

Answer 5

• Call for HELP!

Question 6

E Stands for?

Answer 6

• Evaluate for an episiotomy

Question 7

L Stands for

Answer 7

• McRoberts put legs in to supine position

then bring them back as far as they can go

Question 8

P Stands for?

Answer 8

• Suprapubic pressure (external)

Question 9

E Stands for?

Answer 9

• Enter for internal Manoeuvres

Question 10

R stand for?

Answer 10

• Removal of the posterior arm

Question 11

Second R stand for?

Answer 11

• Roll the wahine on all fours

Question 12

name the shoulder dystocia internal manoeuvres?

Answer 12

• Rubins 2 - Wood screw
• Reverse wood screw
• Removal of the posterior arm

Question 13

What are other risks to mama & pepi if Shoulder dystocia occurs?

Answer 13

• PPH

- Resuscitation of the new-born

Question 14

you have 7mins to do what in a shoulder dystocia?

Answer 14

• to birth the pepi before asphyxia occurs.