Shoulder dystocia Flashcards
1
Q
Risk factors
A
Large baby Previous shoulder dystocia Low maternal BMI Induced labour Low height Maternal diabetes Instrumental delivery
2
Q
Management
A
Gentle downwards traction
Senior help requested
McRobert’s manoeuvre - legs hyperextended onto abdomen
Suprapubic pressure
If above don’t work, episiotomy and
Wood’s screw manoeuvre - rotation of shoulders
Grasp posterior arm and extend and pull out
Last resort: replacement of head and C-section but by that point fetal damage usually irreversible
3
Q
Complications
A
Erb’s palsy
Fetal death
