Contemporary management of shoulder dystocia

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations

Abstract

Shoulder dystocia is an uncommon but potentially catastrophic intrapartum event. Although risk factors such as maternal diabetes, obesity and macrosomia can be identified, shoulder dystocia most frequently occurs in patients who lack risk factors. Many maneuvers have been described to assist the operator in the safe release of the shoulder and subsequent delivery; however, no prospective trials have compared these maneuvers in such a way to suggest that one maneuver is superior to another. This article describes the identification of patients at risk for shoulder dystocia, clinical management of the shoulder dystocia, event documentation and the contemporary use of drills and simulation training to improve team preparedness for this unpredictable and usually unavoidable event.

Original languageEnglish (US)
Pages (from-to)861-869
Number of pages9
JournalWomen's Health
Volume6
Issue number6
DOIs
StatePublished - Nov 2010

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Keywords

  • drills
  • macrosomia obesity
  • shoulder dystocia
  • simulation training

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