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Women's Health > Shoulder dystocia > Flashcards

Shoulder dystocia Flashcards

1
Q

What are the complications of shoulder dystocia

A

→ High rate of fetal mortality and morbidity

→ Brachial plexus injuries

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2
Q

What are RF for shoulder dystocia

A 
most occur in women w no RFs!!
large/post-mature fetus
BMI >30 
IOL (w oxytocin)
Prolonged 1st/2nd stage
prev. SD
DM
Instrumental delivery
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3
Q

How can SD be avoided?

A

CS if diabetic or fetus >4500g

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4
Q

Describe the management of SD

A

HELPERR

  1. get Help
  2. Episiotomy
  3. Legs - McRoberts
  4. Suprapubic Pressure
  5. Enter: rotational manouevres
  6. Remove posterior arm
  7. Roll patient onto hands and knees
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5
Q

How should death of the fetus be managed?

A

cut clavicles to assist delivery

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6
Q

What is the potential damage to the fetus because of SD

A

Erb’s palsy

fractured clavicle

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Women's Health (65 decks)

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