Shoulder dystocia Flashcards
What is shoulder dystocia?
When the anterior shoulder gets stuck behind the pubic bone
Requires additional manoeuvres to release the shoulder
What are the risk factors for shoulder dystocia?
Previous shoulder dystocia
Gestational age
Raised BMI
Diabetes
Increased weight of >20kg
Macrosomia
IOL/Augmentation
High head at term
What is the difference between augmentation and induction of labour?
Augmentation: hormone drip actually putting you into labour
Induction of labour: a pessary is pit in to encourage labour
What are the risks dollowing shoulder dystocia?
Stillbirth
Hypoxia
Brachial plexus injury
Fractures
PPH
3rd/4th degree tear
Uterine rupture
Psychological distress
What is McRoberts manoeuvre?
Lay completely flat and elevate legs knee to shoulders
Used to help shoulder dystocia
How does supra pubic pressure help shoulder dytocia?
It knocks the shoulder so it’s not in the way of the pubic bone
What is an episiotomy?
Cutting between the vagina and the perineum
