Shoulder Dystocia Flashcards
1
Q
What is it?
A
Where the anterior should impacts and gets stuck behind the maternal symphysis following delivery of the head
2
Q
What are risk factors?
A
GDM
Foetal macrosomia
Maternal obesity
Prolonged labour
Instrumental delivery
3
Q
What are signs?
A
Difficulty in delivering
Turtle sign- foetal head retracts after it has emerged
4
Q
What is the management?
A
McRoberts manoeuvre
- bring thighs to abdomen to increase angle of pelvis and aid delivery
Rubin
- apply pressure on accessible shoulder and push to chest
Wood Screw
-Rotate the posterior shoulder to release anterior shoulder
Gaskin
- put mum on all 4s
Epsiotomy- to help access
5
Q
What are complications?
A
Baby
- brachial plexus injury (Erbs palsy)
-Fractures
- Hypoxia or death
Mother
- PPH
- tears
- uterine rupture
