Shoulder Dystocia


MEDICAL EMERGENCY


Definition

Risk factors

Prevention

Management of shoulder dystocia:
HELPER
H
elp (ask for help)
Evaluate for episiotomy (don't be Dr Clardy and be cutting everyone's vagina, just evaluated first, try other maneuvers)
Legs up (perform McRoberts’ maneuver)
Pressure (suprapubic)
Enter the vagina to rotate with Wood’s screw maneuver
Remove the posterior arm
R
oll pt to the all-fours position.
R
eturn the fetal head to the pelvis for C-section (Zavanelli maneuver)
 


Complications associated with shoulder dystocia: