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Management of shoulder dystocia
S B Drummond1, J P Bruner, G W Reed
1Department of Obstetrics and Gynecology, Vanderbilt University Medical Center, Nashville, USA.
Objective:
We sought to determine the management of shoulder dystocia currently practiced by physicians in the Middle Tennessee region and the frequency of use of the all-fours (Gaskin) maneuver in clinical practice.
Methods:
A questionnaire was developed and sent to physicians in the Middle Tennessee area, asking how they would manage shoulder dystocia in specific practice scenarios.
Results:
The methods most commonly used to manage shoulder dystocia are episiotomy, the McRoberts maneuver, and suprapubic pressure. Twenty-four percent of practitioners listed more than four options for the management of shoulder dystocia. Only 8% of those surveyed claimed knowledge of and use of the all-fours maneuver.
Conclusion:
Educational programs should be developed to inform practitioners of additional options for the management of shoulder dystocia.
