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Shoulder dystocia.

Thomas F Baskett1

  • 1Department of Obstetrics and Gynaecology, Dalhousie University, 5980 University Avenue, Halifax, Nova Scotia B3J 3G9, Canada.

Best Practice & Research. Clinical Obstetrics & Gynaecology
|February 28, 2002
PubMed
Summary

Shoulder dystocia is an obstetric emergency that can cause infant injury. Prompt management with specific maneuvers can minimize fetal trauma and reduce medico-legal risks.

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Area of Science:

  • Obstetrics
  • Perinatal Medicine
  • Emergency Medicine

Background:

  • Shoulder dystocia is an uncommon but significant obstetric emergency.
  • It frequently leads to perinatal morbidity and potential permanent infant injury.
  • These deliveries have substantial medico-legal implications.

Purpose of the Study:

  • To outline the mechanisms and predisposing factors of shoulder dystocia.
  • To detail the recommended management strategies for shoulder dystocia.
  • To emphasize the importance of preparedness in managing this obstetric emergency.

Main Methods:

  • Review of mechanisms and predisposing factors for shoulder dystocia.
  • Description of a sequence of maneuvers for shoulder dystocia management.
  • Discussion of medico-legal aspects related to shoulder dystocia.

Main Results:

  • Shoulder dystocia, while uncommon, is a critical obstetric event.
  • Perinatal morbidity is common, with potential for permanent infant injury.
  • Effective management requires a rehearsed sequence of maneuvers.

Conclusions:

  • A well-rehearsed management plan is crucial for shoulder dystocia.
  • Minimizing fetal trauma is a primary goal in managing shoulder dystocia.
  • Preparedness can mitigate adverse outcomes and medico-legal consequences.

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