• Seminars in perinatology · Jun 2014

    Review

    Shoulder dystocia: management and documentation.

    • Michael L Stitely and Robert B Gherman.
    • Department of Women׳s and Children׳s Health, University of Otago, Dunedin, New Zealand.
    • Semin. Perinatol. 2014 Jun 1; 38 (4): 194-200.

    AbstractShoulder dystocia is an obstetric emergency that occurs when the fetal shoulders become impacted at the pelvic inlet. Management is based on performing maneuvers to alleviate this impaction. A number of protocols and training mnemonics have been developed to assist in managing shoulder dystocia when it occurs. This article reviews the evidence regarding the performance, timing, and sequence of these maneuvers; reviews the mechanism of fetal injury in relation to shoulder dystocia; and discusses issues concerning documentation of the care provided during this obstetric emergency.Copyright © 2014 Elsevier Inc. All rights reserved.

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