Shoulder Dystocia: Prediction and Management. (March 2016)

• Record Type: Journal Article
• Authors: Hill, Meghan G; Cohen, Wayne R
• Is Part Of: Women's health. Volume 12:Number 2(2016)
• Page Start: 251
• Page End: 261
• Publication Date: 2016-03
• Subjects: birth trauma -- brachial plexus injury -- diabetes -- Erb palsy -- macrosomia -- shoulder dystocia; Gynecology -- Periodicals; Obstetrics -- Periodicals; Women -- Health and hygiene -- Periodicals; 618.05
• DOI: 10.2217/whe.15.103
• Languages: English
• ISSNs: 1745-5057

Abstract

Shoulder dystocia is a complication of vaginal delivery and the primary factor associated with brachial plexus injury. In this review, we discuss the risk factors for shoulder dystocia and propose a framework for the prediction and prevention of the complication. A recommended approach to management when shoulder dystocia occurs is outlined, with review of the maneuvers used to relieve the obstruction with minimal risk of fetal and maternal injury.