Shoulder dystocia Flashcards
(6 cards)
What is shoulder dystocia?
When the anterior shoulder of the baby becomes impacted behind the pubic bone
What are the three manoeuvres for managing shoulder dystocia?
McRobert’s - flex and externally rotate the hips to stretch symphysis and open pelvic outlet
Suprapubic pressure - to dislodge shoulder
Episiotomy
What is the success rate of one of these three manoeuvres working?
work in ~85%
What are the four advanced interventions?
Rotate anterior shoulder
Deliver posterior arm –> to reduce width
Break clavicle
This is known as the Woodscrew manoeuvre
What is the Zavanelli manoeuvre?
Push foetal head back into birth canal in anticipation of delivery via C-section
What is the outcome if it gets to the stage of an emergency C-section
Associated with poor outcome usually
