What should you do in case of shoulder dystocia?

What should you do in case of shoulder dystocia?

Because most cases of shoulder dystocia can be relieved with the McRoberts maneuver and suprapubic pressure, many women can be spared a surgical incision. This procedure involves flexing and abducting the maternal hips, positioning the maternal thighs up onto the maternal abdomen.

What are complications of shoulder dystocia?

Maternal complications of shoulder dystocia include post-partum hemorrhage, vaginal lacerations, anal tears, and uterine rupture. The psychological stress impact of shoulder dystocia is under-recognized and deserves counseling prior to home discharge.

Which of the following are common fetal or neonatal injuries seen after shoulder dystocia?

Shoulder dystocia remains an obstetric emergency with the potential for serious outcomes. It occurs in 0.6–1.4% of all deliveries,1 with possible consequences including neonatal fractures (humeral and clavicular), brachial plexus injury (Erb’s or Klumpke’s), hypoxic-ischemic encephalopathy, and even neonatal death.

What are the risk factors for shoulder dystocia?

Risk factors for shoulder dystocia include:

• Macrosomia.
• Having preexisting diabetes or gestational diabetes.
• Having shoulder dystocia in a previous pregnancy.
• Being pregnant twins, triples or other multiples.
• Being overweight or gaining too much weight during pregnancy.

What should a nurse do for shoulder dystocia?

For nurses specifically, managing shoulder dystocia begins with alerting all appropriate members of the obstetrics care team (situational awareness), applying primary maneuvers, assisting the provider as necessary with secondary maneuvers, regularly communicating the time to the team, and briefing and debriefing with …

What are some signs that might indicate a potential case of shoulder dystocia?

Shoulder dystocia is when, after vaginal delivery of the head, the baby’s anterior shoulder gets caught above the mother’s pubic bone. Signs include retraction of the baby’s head back into the vagina, known as “turtle sign”. Complications for the baby may include brachial plexus injury, or clavicle fracture.

Can shoulder dystocia be prevented?

Can shoulder dystocia be prevented? In most instances, shoulder dystocia cannot be prevented because it cannot be predicted. If you have diabetes or have developed diabetes in pregnancy, you will usually be offered early induction of labour or planned caesarean section.

What injury does the nurse examine in the newborn with shoulder dystocia?

Birth Trauma Infants who present with shoulder dystocia are at risk for clavicle fracture during delivery.

How do you assess for shoulder dystocia?

Shoulder dystocia is defined by a delay in delivery of the shoulders following the head during a vaginal delivery with the next contraction after using normal traction. On examination, signs that may occur to aid the diagnosis are: Difficulty in delivery of the fetal head or chin.

What is the most common injury to the baby following a shoulder dystocia?

Brachial plexus injury to the newborn is the most common complication of shoulder dystocia. Most of these injuries resolve before discharge from the hospital.

What is the nurse’s role in the management of shoulder dystocia?

The nurse’s role is to recognize and report associated risk factors for shoulder dystocia, respond with appropriate assistance, and monitor the woman and her newborn after delivery. The nurse’s calm demeanor, knowledge of treatment modalities, and prepared response are valuable assets in this clinical dilemma.

What is the shoulder dystocia in situ simulation tool?

Purpose of the tool: The Shoulder Dystocia In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in the unit where they work. Upon completion of the Shoulder Dystocia In Situ Simulation, participants will be able to do the following:

What are the fetal complications of shoulder dystocia?

Asphyxia is also a fetal complication of shoulder dystocia, but it is extremely rare. Asphyxia occurs when the shoulder is not released in a timely manner and the neonate is deprived of oxygen, resulting in brain injury or death.

Can shoulder dystocia be predicted?

Predictability of shoulder dystocia remains elusive, but some risk factors appear consistently.