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Related Concept Videos

Muscles of the Shoulder01:23

Muscles of the Shoulder

The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...

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Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs
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Published on: December 22, 2023

Shoulder dystocia.

William Grobman1

  • 1Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA. w-grobman@northwestern.edu

Obstetrics and Gynecology Clinics of North America
|March 8, 2013
PubMed
Summary
This summary is machine-generated.

Shoulder dystocia, a delivery complication, occurs in 0.2-3% of vaginal births. Due to poor predictability, effective management protocols and simulation training are crucial for mitigating associated risks.

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Area of Science:

  • Obstetrics and Gynecology
  • Perinatal Medicine
  • Emergency Obstetrics

Background:

  • Shoulder dystocia complicates 0.2-3% of vaginal deliveries.
  • Predicting shoulder dystocia is challenging for healthcare providers.
  • Complications include severe perineal tears, postpartum hemorrhage, and neonatal brachial plexus injuries.

Purpose of the Study:

  • To review the challenges in predicting shoulder dystocia.
  • To emphasize the importance of immediate management protocols.
  • To highlight the role of simulation training in improving care.

Main Methods:

  • Literature review on shoulder dystocia incidence and outcomes.
  • Analysis of prediction models and management strategies.
  • Evaluation of simulation training effectiveness.

Main Results:

  • Shoulder dystocia has a variable incidence (0.2-3%).
  • Accurate prediction remains elusive, necessitating preparedness.
  • Protocols and simulation training are being investigated to improve outcomes.

Conclusions:

  • Effective management of shoulder dystocia relies on timely intervention.
  • Simulation training and established protocols are key to enhancing patient safety.
  • Further research is needed to improve predictive capabilities.