Shoulder dystocia

Question 1

what is it a complication of

Answer 1

vaginal cephalic delivery.

Question 2

why does it occur

Answer 2

It usually occurs due to impaction of the anterior fetal shoulder on the maternal pubic symphysis. Shoulder dystocia is a cause of both maternal and fetal morbidity.

Question 3

risk factors

Answer 3

fetal macrosomia (hence association with maternal diabetes mellitus)
high maternal body mass index
diabetes mellitus
prolonged labour

Question 4

Mx

Answer 4

McRoberts’ manoeuvre

Question 5

what is the McRobert’s manoeuvre?

Answer 5

this manoeuvre entails flexion and abduction of the maternal hips, bringing the mother’s thighs towards her abdomen

this rotation increases the relative anterior-posterior angle of the pelvis and often facilitates a successful delivery.

Question 6

is oxytocin administered

Answer 6

no

Question 7

complications maternal

Answer 7

postpartum haemorrhage
perineal tears

Question 8

fetal complications

Answer 8

brachial plexus injury
neonatal death