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https://www.birthinjuryhelpcenter.org/dystocia-delivery-techniques.html
Shoulder dystocia occurs when the baby's shoulder gets stuck in the birth canal. Delivery can be accomplished without injury by using certain manipulative and operative techniques for overcoming shoulder dystocia. This page with discuss most widely utilized manipulative techniques for handling shoulder dystocia.
https://www.healthline.com/health/pregnancy/delivery-shoulder-dystocia
Mar 15, 2012 · 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 baby and can extend the length of time for delivery.Author: Rachel Nall, MSN, CRNA
http://www.emdocs.net/the-complicated-delivery-what-do-you-do/
Shoulder dystocia is a subjective clinical diagnosis when gentle traction is insufficient to deliver the fetal shoulders after delivery of the fetal head. It occurs in 0.2–3% percent of all births [2], but cannot usually be anticipated or prevented as most patients lack factors that would suggest increased risk [3].
https://www.uptodate.com/contents/shoulder-dystocia-risk-factors-and-planning-delivery-of-high-risk-pregnancies
A vaginal delivery is complicated by shoulder dystocia when, after delivery of the fetal head, additional obstetric maneuvers beyond gentle guidance are needed to enable delivery of the fetal shoulders. Shoulder dystocia is an obstetric emergency because it may result in life-threatening infant injuries, as well as less serious maternal injuries.
https://www.ahrq.gov/hai/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool-shoulder-dystocia.html
Nov 01, 2018 · Purpose of the tool: This tool describes the key perinatal safety elements related to the safe management of a delivery complicated by a shoulder dystocia.The key elements are presented within the framework of the Comprehensive Unit-based Safety Program (CUSP). Who should use this tool: Nurses, physicians, midwives, and other labor and delivery (L&D) staff responsible for managing a delivery ...
https://www.acog.org/en/Clinical/Clinical%20Guidance/Practice%20Bulletin/Articles/2017/05/Shoulder%20Dystocia
ABSTRACT: Shoulder dystocia is an unpredictable and unpreventable obstetric emergency that places the pregnant woman and fetus at risk of injury. Studies have shown that prepregnancy, antepartum, and intrapartum risk factors have extremely poor predictive value for shoulder dystocia.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3279180/
Most often an unpredictable and unpreventable obstetric emergency, Shoulder Dystocia (SD) continues to evoke terror and fear among physicians, nurse midwives and other healthcare providers (1,2). SD is defined as a delivery that requires additional obstetric manoeuvres to release the shoulders after gentle downward traction has failed.
https://www.merckmanuals.com/professional/gynecology-and-obstetrics/abnormalities-and-complications-of-labor-and-delivery/fetal-dystocia
In this infrequent condition, presentation is vertex, but the anterior fetal shoulder becomes lodged behind the symphysis pubis after delivery of the fetal head, preventing vaginal delivery. Shoulder dystocia is recognized when the fetal head is delivered onto the perineum but appears to be pulled back tightly against the perineum (turtle sign).
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