Management of shoulder dystocia: a re-audit

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Management of shoulder dystocia: a re-audit

Results There were 23 cases of shoulder dystocia; one case had to be discounted. Documentation had declined since 2009 when all areas were 100% documented. Only 65% of cases recorded the manoeuvres used, their timing and stage of delivery. The CNST additionally requires the sequence of manoeuvres and who conducted them which was not routinely recorded. McRobert’s position resolved 50% of cases,...

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Obstetrics Case Report: Shoulder Dystocia

Obstetric emergencies require quick and decisive action to save the life of the mother and the child. Severe hypertensive disorder, haemorrhage and embolism all threaten the life of the mother. The fetus is directly threatened by umbilical cord accidents, other forms of hypoxia and mechanical delivery problems. Death of the mother was frequent in the early part of the twentieth century in the U...

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Obstetrics Case Report: Shoulder Dystocia

Obstetric emergencies require quick and decisive action to save the life of the mother and the child. Severe hypertensive disorder, haemorrhage and embolism all threaten the life of the mother. The fetus is directly threatened by umbilical cord accidents, other forms of hypoxia and mechanical delivery problems. Death of the mother was frequent in the early part of the twentieth century in the U...

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A comparison of obstetric maneuvers for the acute management of shoulder dystocia.

OBJECTIVE To assess the efficacy of obstetric maneuvers for resolving shoulder dystocia and the effect that these maneuvers have on neonatal injury when shoulder dystocia occurs. METHODS Using an electronic database encompassing 206,969 deliveries, we identified all women with a vertex fetus beyond 34 0/7 weeks of gestation who incurred a shoulder dystocia during the process of delivery. Wome...

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Resuscitating the Baby after Shoulder Dystocia

Background. To propose hypovolemic shock as a possible explanation for the failure to resuscitate some babies after shoulder dystocia and to suggest a change in clinical practice. Case Presentation. Two cases are presented in which severe shoulder dystocia was resolved within five minutes. Both babies were born without a heartbeat. Despite standard resuscitation by expert neonatologists, no hea...

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ژورنال

عنوان ژورنال: BMC Proceedings

سال: 2012

ISSN: 1753-6561

DOI: 10.1186/1753-6561-6-s4-p11