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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4223378/
Methods/design. This is a single-centre, randomized controlled trial, with computer-generated randomization in a 1:1 allocation ratio. Women planning their first vaginal delivery (n = 650) are randomized to primary delivery of either the anterior or posterior …Author: Hanne Willer, Anna Jm Aabakke, Lone Krebs
https://www.youtube.com/watch?v=BvkKMwDaryg
May 01, 2019 · Shoulder dystocia can be caused by impaction of the anterior or posterior shoulder during vaginal delivery. Anterior shoulder is more common and is caused by impaction at the maternal pubic symphysis.Author: Surgery 101
https://www.birthinjuryhelpcenter.org/dystocia-delivery-techniques.html
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.
https://www.pregnancyvideo.net/mechanism-normal-labour-and-vaginal-delivery
Expulsion: Expulsion refers to delivery of the body of the fetus. After delivery of the head and external rotation, further descent brings the anterior shoulder to the level of the symphysis pubis. The anterior shoulder rotates under the symphysis pubis, after which the …
https://www.aafp.org/afp/2017/0401/p442.html
Nov 01, 2019 · Use of oxytocin after delivery of the anterior shoulder is the most important and effective component of this practice. Oxytocin is more effective than misoprostol for prevention and treatment of ...Author: Ann Evensen, Janice M. Anderson, Patricia Fontaine
http://etl2.library.musc.edu/delivery_simulation/participant/movements_4.html
g. Expulsion – Delivery of the rest of the fetal body. Once the head is delivered (and the nuchal cord reduced, if present), the mother is asked to push again. The operator places one hand on each side of the fetal head and applies gentle, downward traction to deliver the anterior shoulder from behind the maternal symphysis pubis.
https://www.mdedge.com/obgyn/article/87574/obstetrics/tackle-challenging-shoulder-dystocia-emergency-practicing-delivery
The arm is then pulled out of the vagina, which brings the posterior shoulder out of the pelvis and reduces the shoulder diameter by 2 to 3 cm. If the anterior shoulder cannot be delivered at this point, the fetus can be rotated and the procedure repeated for the anterior (now posterior) arm. 10
https://www.youtube.com/watch?v=jEXNrd2DBQs
Jul 30, 2011 · Posterior Shoulder Dystocia Animation Trial FX. ... Excessive lateral and upward traction in effort to progress delivery results in over stretching and avulsion of cervical nerve roots on the ...
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