Shoulder dystocia: management and documentation. [Review] - 2014

Available online from MWHC library: 1995 - present

Shoulder dystocia is an obstetric emergency that occurs when the fetal shoulders become impacted at the pelvic inlet. Management is based on performing maneuvers to alleviate this impaction. A number of protocols and training mnemonics have been developed to assist in managing shoulder dystocia when it occurs. This article reviews the evidence regarding the performance, timing, and sequence of these maneuvers; reviews the mechanism of fetal injury in relation to shoulder dystocia; and discusses issues concerning documentation of the care provided during this obstetric emergency. Copyright © 2014 Elsevier Inc. All rights reserved.


English

0146-0005


*Brachial Plexus Neuropathies/pc [Prevention & Control]
*Delivery, Obstetric/mt [Methods]
*Dystocia/th [Therapy]
*Medical Records
*Shoulder/in [Injuries]
Algorithms
Clinical Protocols
Delivery, Obstetric/ae [Adverse Effects]
Documentation
Dystocia/pp [Physiopathology]
Female
Humans
Infant, Newborn
Medical Records/st [Standards]
Pregnancy


MedStar Franklin Square Medical Center


OB/GYN, Maternal/Fetal Medicine


Journal Article
Review