Shoulder Dystocia GTG

Question 1

How common is shoulder dystocia?

Answer 1

0.58-0.7% births

Question 2

Risk of PPH with shoulder dystocia?

Answer 2

11%

Question 3

Risk 3-4th degree tear with shoulder dystocia?

Answer 3

3.8%

Question 4

Risk of brachial plexus injury?

Answer 4

2.3-16%

10% permanent (0.43/1000)

Question 5

What are the pre-labour risks for shoulder dystocia?

Answer 5

Previous shoulder dystocia
>4.5kg
DM
BMI >30
IOL

Question 6

What are the intrapartum RF for shoulder dystocia?

Answer 6

Prolonged 1st stage
Secondary arrest
Prolonged 2nd stage
Oxytocin augmentation
Assisted vaginal delivery

Question 7

Does IOL reduce risk of shoulder dystocia in non diabetic mother with macrosomia?

Answer 7

No

Question 8

Does IOL reduce risk of shoulder dystocia in GDM?

Answer 8

Yes can offer 38 weeks

Question 9

What should be offered if EFW>4.5kg and DM

Answer 9

ELCS

Question 10

What is the recurrence of shoulder dystocia

Answer 10

10 x higher than general population
1-25%

Question 11

Should women push in shoulder dystocia?

Answer 11

No, women should be discourage from pushing

Question 12

What % delivery with McRoberts?

Answer 12

90%

Question 13

What % babies die within 5 mins of head being delivered?

Answer 13

47%

Question 14

Risk humeral fracture

Answer 14

2-12%