Shoulder Dystocia Flashcards
1
Q
Call for Help
A
- 2222
- obstetric emergency
- SOAPS
- check resus
- extra help- suspected neonatal compromise
2
Q
End Pushing
A
- stop further bone on bone impaction
- stop syntocinon infusion
3
Q
Legs
A
- McRoberts end of the bed
- bring her legs down then upwards towards her chest
- opens the sacral prominent, increases the AP diameter
- gentle axial traction
4
Q
Pressure
A
- suprapubic pressure
- posterior aspect of the anterior shoulder
- gentle axial traction
5
Q
Enter
A
- consider episiotomy
- whole hand into the sacral hollow
- remove the posterior arm
5
Q
Enter
A
- consider episiotomy
- whole hand into the sacral hollow
- remove the posterior arm
6
Q
OR
A
- rotate the posterior shoulder into an oblique position
- gentle axial traction
7
Q
Rotate
A
- all fours positioning
- repeat manoeuvres again
8
Q
Refer to senior obsetrician
A
- cleidotomy
- symphysiotomy
- zavanelli manoeuvre
9
Q
Immediate Care- Mother
A
- active 3rd stage management
- prepare for PPH
- inspect perineum
- pain management
10
Q
Immediate Care- Neonate
A
- assess for resuscitation
- delayed cord clamping
- cord bloods
- skin-to-skin
11
Q
Immediate Care- Neonate
A
- assess for resuscitation
- delayed cord clamping
- cord bloods
- skin-to-skin
11
Q
Rotate
A
- all fours positioning
- repeat manoeuvres again
11
Q
Immediate Care- Mother
A
- active 3rd stage management
- prepare for PPH
- inspect perineum
- pain management
11
Q
Ongoing Care
A
- debrief- mum and team
- document
- review cord bloods
