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Precipitous Labor and Emergency Department Delivery

Joelle Borhart1, Kathryn Voss1

  • 1Department of Emergency Medicine, MedStar Georgetown University, MedStar Washington Hospital Center, 3800 Reservoir Road, Washington, DC 20007, USA.

Emergency Medicine Clinics of North America
|April 4, 2019
PubMed

A precipitous delivery can be among the most stressful events an emergency physician encounters. The physician must assess 2 patients (mother and fetus) and be prepared to manage a variety of complications that may arise during delivery. A majority of precipitous deliveries result in good outcomes for both mother and baby, but emergency physicians must be prepared to manage feared complications, such as tight nuchal cords, shoulder dystocia, and breech presentation. An understanding of the labor process as well as advanced planning can help decrease the stress and chaos inherent to any precipitous delivery.

Keywords:
Breech presentationMcRoberts maneuverNuchal cordPrecipitous deliveryShoulder dystocia

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