[Shoulder dystocia during vaginal delivery].

Area of Science:

• Obstetrics and Gynecology
• Fetal Medicine
• Neonatal Care

Context:

• Shoulder dystocia is a significant obstetric complication during vaginal delivery, affecting 0.6-1.4% of births.
• It necessitates specialized maneuvers to resolve shoulder impaction, posing risks to both mother and infant.
• Associated perinatal morbidity includes brachial plexus injuries, potentially leading to permanent dysfunction.

Purpose:

• To review current evidence on the prediction of shoulder dystocia.
• To outline recommended management strategies for shoulder dystocia.
• To enhance awareness and training for birth attendants regarding this complication.

Summary:

• Shoulder dystocia is a delivery complication requiring obstetric maneuvers, with an incidence of 0.6-1.4%.
• Key fetal complications include brachial plexus injuries, sometimes resulting in permanent dysfunction.
• Effective prediction and management protocols are crucial for mitigating risks.

Impact:

• Improved understanding and application of prediction and management techniques for shoulder dystocia.
• Reduced incidence of serious perinatal morbidity, particularly brachial plexus injuries.
• Enhanced preparedness and skill among healthcare providers managing shoulder dystocia during labor and delivery.