• J Emerg Med · Mar 2014

    Review

    Emergency Department Management of Shoulder Dystocia.

    • Gary M Vilke, Jacob W Ufberg, Daniel A Del Portal, and Amanda E Horn.
    • Department of Emergency Medicine, Temple University School of Medicine, Philadelphia, Pennsylvania.
    • J Emerg Med. 2014 Mar 1;46(3):378-82.

    BackgroundPrecipitous obstetric deliveries can occur outside of the labor and delivery suite, often in the emergency department (ED). Shoulder dystocia is an obstetric emergency with significant risk of adverse outcome.ObjectiveTo review multiple techniques for managing a shoulder dystocia in the ED.DiscussionWe review various techniques and approaches for achieving delivery in the setting of shoulder dystocia. These include common maneuvers, controversial interventions, and interventions of last resort.ConclusionsEmergency physicians should be familiar with multiple techniques for managing a shoulder dystocia to reduce the chances of fetal and maternal morbidity and mortality.Copyright © 2014 Elsevier Inc. All rights reserved.

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