Shoulder dystocia Flashcards
1
Q
What is shoulder dystocia?
A
A delivery requiring additional obstetric manoeuvres to release the shoulders after gentle downward traction has failed
2
Q
What complications occur in shoulder dystocia?
A
- PPH
- 4th degree tears
- Brachial plexus injury
- Fractured clavicle
3
Q
What is shoulder dystocia associated with?
A
- Large/postmature foetus
- BMI > 30
- Induced/oxytocin augmented labour
- Prolonged 1st/2nd stage
- Secondary labour arrest
- Assisted vaginal delivery
- Previous dystocia
- DIabetes
4
Q
What nerve injury can occur from shoulder dystocia?
A
Erb’s palsy
5
Q
What is the main danger to the baby if shoulder dystocia occurs?
A
Asphyxia
6
Q
How would you manage shoulder dystocia?
A
Helper
- Get Help
- Episiotomy
- Legs - McRoberts maneuver
- Suprapubic Pressure
- Enter maneuvers/internal rotation
- Remove posterior arm from the birth canal
- Roll - onto all 4s
7
Q
What should you do following the delivery of the baby with shoulder dystocia?
A
- Record time of delivery of head
- Direction of head after restitution
- Record manoeuvres
- Record time of delivery of body
- Apgar of baby at birth
