shoulder dystocia Flashcards
1
Q
what
A
anterior fetal shoulder gets stuck behind pubic symphysis after head has been delivered
2
Q
caused by
A
macrosomia 2ry to GDM
3
Q
Mx
A
episiotimy
McRobert’s
Pressure anterior shoulder
4
Q
Rubins maneouvre
A
reach into vagina to put pressure on posterior aspect baby’s shoulder
5
Q
zavanelli manouvre
A
pushing babys head back into vagina so baby can be delivered by emergency CS
6
Q
complications
A
fetal hypoxia
Brachial plexus injury + Erb’s palsy
perineal tears
PPH