Shoulder Dystocia During Birth

 

Shoulder Dystocia

Video taken from the channel: Surgery 101


 

Dr. Jones Explains Shoulder Dystocia on One Born Every Minute

Video taken from the channel: OhioHealth


 

Shoulder Dystocia Midwife Secrets You Need to KnowDad and Midwife Q&A

Video taken from the channel: Cajun Stork Midwife Kira at Natural Birthhouse


 

Shoulder Dystocia During Delivery

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Shoulder Dystocia Medical Animation

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How to Deliver During Shoulder Dystocia | Merck Manual Professional Version

Video taken from the channel: Merck Manuals


 

Having a forceps delivery Understanding Shoulder Dystocia | One Born Every Minute

Video taken from the channel: One Born Every Minute


Shoulder dystocia occurs when a baby’s head passes through the birth canal and their shoulders become stuck during labor. This prevents the doctor from fully delivering the. Shoulder dystocia is a birth trauma that happens when the mother has difficulty pushing the baby out during delivery due to one or both of a baby’s shoulders. Shoulder dystocia is a condition that occurs during childbirth when the shoulders of an infant are stuck in the pelvic of the mother, mostly because the baby is too large for the birth tube.

Other causes can be when the baby is born face first, pulled. Shoulder dystocia happens in about 1 in every 200 births. It’s more common during a vaginal birth, but a baby’s shoulder can also get stuck during a caesarean. Shoulder dystocia is a medical emergency. Your provider may: Press your thighs up against your belly.

This is called the McRoberts maneuver. Press on your lower belly just above your pubic bone. This is called suprapubic pressure.

Help your baby’s arm out of the birth canal Reach up into the vagina to try to turn your baby. Or turn you over. The single most common risk factor for shoulder dystocia is the use of a vacuum extractor or forceps during delivery. 2 However, most cases occur in.

Shoulder dystocia is a complication during vaginal childbirth that occurs when the baby’s shoulder becomes stuck behind the mother’s pelvic bone. Shoulder dystocia can be one of the most catastrophic events in modern-day delivery rooms causing great anxiety even for experienced doctors. Dr. Roshan says time is of the essence when a baby has shoulder dystocia during a delivery. “Usually you have five minutes to get the baby out after the head is. Shoulder dystocia is an obstetric emergency in which normal traction on the fetal head does not lead to delivery of the shoulders.

This can cause neonatal brachial plexus injuries, hypoxia, and. Shoulder dystocia is an obstetrical emergency during childbirth that occurs when a baby’s anterior shoulder becomes stuck behind the mother’s pelvic bone preventing the baby from continuing through the birth canal. Shoulder dystocia is a comparatively common type of obstetrical complication.

List of related literature:

There is a history of shoulder dystocia at birth.

“Certification and Core Review for Neonatal Intensive Care Nursing E-Book” by AACN, AWHONN, NANN, Robin L. Watson
from Certification and Core Review for Neonatal Intensive Care Nursing E-Book
by AACN, AWHONN, et. al.
Elsevier Health Sciences, 2012

Both obstetric and pediatric providers should debrief the shoulder dystocia event immediately after the delivery.

“Avery's Diseases of the Newborn E-Book” by Christine A. Gleason, Sherin Devaskar
from Avery’s Diseases of the Newborn E-Book
by Christine A. Gleason, Sherin Devaskar
Elsevier Health Sciences, 2011

Shoulder dystocia is an uncommon obstetric emergency that increases the risk for fetal and maternal morbidity and mortality during the attempt to accomplish birth vaginally.

“Maternity and Women's Health Care E-Book” by Deitra Leonard Lowdermilk, Shannon E. Perry, Mary Catherine Cashion, Kathryn Rhodes Alden
from Maternity and Women’s Health Care E-Book
by Deitra Leonard Lowdermilk, Shannon E. Perry, et. al.
Elsevier Health Sciences, 2014

Shoulder dystocia is a rare but potentially serious complication that occurs when the baby’s head has been born, but the birth of her shoulders is delayed because they’re too broad to fit through the pelvis.

“Pregnancy, Childbirth, and the Newborn: The Complete Guide” by Janet Walley, Penny Simkin, Ann Keppler, Janelle Durham, April Bolding
from Pregnancy, Childbirth, and the Newborn: The Complete Guide
by Janet Walley, Penny Simkin, et. al.
Meadowbrook, 2016

Shoulder dystocia cannot be strictly prevented because normal term fetuses, with shoulders wider than the fetal head, are at some risk for shoulder dystocia, and most infants of mothers without diabetes with shoulder dystocia are not macrosomic!7-21.

“Clinical Maternal-Fetal Medicine” by Hung N. Winn, John C. Hobbins
from Clinical Maternal-Fetal Medicine
by Hung N. Winn, John C. Hobbins
Taylor & Francis, 2000

Shoulder dystocia occurs when after the delivery of the head, the shoulders cannot be delivered secondary to impaction on the maternal pelvis.

“Miller's Anesthesia, 2-Volume Set E-Book” by Michael A. Gropper, Ronald D. Miller, Lars I. Eriksson, Lee A Fleisher, Jeanine P. Wiener-Kronish, Neal H Cohen, Kate Leslie
from Miller’s Anesthesia, 2-Volume Set E-Book
by Michael A. Gropper, Ronald D. Miller, et. al.
Elsevier Health Sciences, 2019

If concerned about the risk of shoulder dystocia, others will ask an assistant to apply suprapubic pressure to the fetal shoulder during the birth of the shoulder (there is no evidence that this technique is effective in preventing shoulder dystocia).

“Midwifery: Preparation for Practice” by Sally Pairman, Sally K. Tracy, Carol Thorogood, Jan Pincombe
from Midwifery: Preparation for Practice
by Sally Pairman, Sally K. Tracy, et. al.
Elsevier Health Sciences, 2011

Shoulder dystocia can be recognized from the “turtle sign”: The fetal head will begin to protrude and then withdraw back inside because the shoulders are too large to exit the uterus.

“Critical Care Transport” by American Academy of Orthopaedic Surgeons (AAOS), American College of Emergency Physicians (ACEP), UMBC
from Critical Care Transport
by American Academy of Orthopaedic Surgeons (AAOS), American College of Emergency Physicians (ACEP), UMBC
Jones & Bartlett Learning, 2017

The most important risk factors for shoulder dystocia are fetal macrosomia and maternal diabetes.

“Hacker & Moore's Essentials of Obstetrics and Gynecology E-Book” by Neville F. Hacker, Joseph C. Gambone, Calvin J. Hobel
from Hacker & Moore’s Essentials of Obstetrics and Gynecology E-Book
by Neville F. Hacker, Joseph C. Gambone, Calvin J. Hobel
Elsevier Health Sciences, 2009

Shoulder dystocia is more common when the baby is very big at birth (around ten pounds or more), but it can happen to smaller babies as well.

“Our Bodies, Ourselves: Pregnancy and Birth” by Boston Women's Health Book Collective, Judy Norsigian
from Our Bodies, Ourselves: Pregnancy and Birth
by Boston Women’s Health Book Collective, Judy Norsigian
Atria Books, 2008

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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4 comments

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  • Lying on your back not the optimal position for birth. What if the mama stood upright. Would this not support a baby with shoulder dystocia?

  • Unfortunately this baby will suffer from long term subtle cognitive (and other ) sequaelae. Most of this will go unnoticed (ADHD, various learning disabilities, lower IQ), besides nobody is really willing to discuss this with the parents. Out of fear of possible ligitation.

  • There was some research which showed that babies are so big nowadays because mothers are taking baby vitamins during their 2nd and 3rd pregnancy. It’s not unusual in past few years to have baby which weights over 4 kg, even if it’s a baby girl. When I learnt this, I restrained myself from taking those. I wanted to give a birth to a baby, not to a child:)

  • I gave birth to my first on Wednesday February 28

    I had a natural birth

    I was screaming and panicking it was really really painful

    I felt lots of burning and pressure while I was pushing

    When I felt like I needed to bear down and push I told the nurse but she wouldn’t let me push yet even though I felt like I really had to push because my delivery doctor was at another delivery

    The scariest part of my delivery was when my babies shoulder got stuck shoulder dystocia The nurse at my delivery had to put pressure on my belly super pubic pressure there was a nurse on either side of me pushing my legs way way back to make it easier for baby to be born I had to push very hard harder than I already was pushing

    The most intense parts
    was when my delivery doctor was stretching me so I didn’t tear

    The other intense part was when my delivery doctor told me not to push during one of the final contractions so she could suction my baby