Shoulder Dystocia Flashcards
1
Q
What is shoulder dystocia?
A
Cephalic delivery where manouevres other than gentle traction are required to deliver baby after head has delievred
-Bony impaction of foetal anterior shoulder on maternal symphysis
2
Q
Whos at risk?
A
obese Diabetes Prolonged 1st and 2nd stage Instrumental delievry Prev shoulder dystocia Slow 1st or 2nd stage of labour, induction
3
Q
Presentation of shoulder dystocia?
A
Slow delivery of head, face and chin
Turtling of head against perineum
Lack of restitution
Head bobbing
4
Q
Management of shoulder dystocia?
A
Help Evaluate for episiotomy Legs (McRoberts manouevre) Pressure Enter Remove posterior arm Roll patient onto hands and knees
5
Q
Foetal complications in shoulder dystocia?
A
Hypoxia Brachial plexus injury Fracture of clavicle humerus IC Haemorrhage Death
6
Q
Maternal comps in shoulder dystocia?
A
PPH
Genital tract trauma
Pelvic injuries
