shoulder dystocia Flashcards

1
Q

what

A

anterior fetal shoulder gets stuck behind pubic symphysis after head has been delivered

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2
Q

caused by

A

macrosomia 2ry to GDM

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3
Q

Mx

A

episiotimy
McRobert’s
Pressure anterior shoulder

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4
Q

Rubins maneouvre

A

reach into vagina to put pressure on posterior aspect baby’s shoulder

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5
Q

zavanelli manouvre

A

pushing babys head back into vagina so baby can be delivered by emergency CS

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6
Q

complications

A

fetal hypoxia
Brachial plexus injury + Erb’s palsy
perineal tears
PPH

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