Reaction PAPER
Shoulder dystocia
My reaction in this video I believe this important technique to be used especially maternal care and for the
safer delivery of a baby. For me shoulder dystocia is one of the most terrifying birthing complications.
Although several variables have been linked to shoulder dystocia, the majority of instances occur without
warning. Recognizing the impaction and instituting specific maneuvers, such as the McRoberts maneuver,
suprapubic pressure, internal rotation, or removal of the posterior arm, to relieve the impacted shoulder and
allow for spontaneous delivery of the infant, allows for calm and effective management of this emergency.
The "HELPER" mnemonic from the Advanced Life Support in Obstetrics course might be effective for
dealing with this situation. Although there is no ideal manipulation or treatment, all maneuvers in the
HELPERR mnemonic assist physicians in one of three actions: enlarging the maternal pelvis through
cephalad rotation of the symphysis and flattening of the sacrum; collapsing the fetal shoulder width; or
changing the orientation of the fetus's longitudinal axis to the plane of the obstruction. Additional
therapeutic approaches, such as deliberate clavicle fracture, symphysiotomy, and the Zavanelli procedure,
are outlined in rare circumstances if these therapies fail. Shoulder dystocia is one of the most frightening
crises faced by maternity care providers. Shoulder dystocia occurs when the fetal anterior shoulder smashes
on the maternal symphysis following delivery of the vertex and requires further techniques to deliver the
fetus when typical gradual downward traction fails. Shoulder dystocia is caused less often by impaction of
the posterior shoulder on the sacral promontory. Although shoulder dystocia and disimpaction techniques
have generally been blamed for their genesis, in utero positioning of the fetus, a rapid second stage of labor,
and maternal factors may also play a role.
Based on the video the rate of persistence at one year is much greater in instances of Erb's palsy without
diagnosed shoulder dystocia. Other common side effects of shoulder dystocia include clavicle and humerus
fractures, which usually heal without deformity. In extreme circumstances, hypoxia damage or death may
result. While labor induction in women with gestational diabetes who require insulin may minimize the risk
of macrosomia and shoulder dystocia, the risk of maternal or neonatal damage is not altered. There is
insufficient evidence to consistently recommend elective delivery in this population. While labor induction
in women with gestational diabetes who require insulin may minimize the risk of macrosomia and shoulder
dystocia, the risk of maternal or neonatal damage is not altered. There is insufficient evidence to consistently
recommend elective delivery in this population. There are risk factors that might contribute to shoulder
dystocia, the disorder can affect anybody. There are no signs, and there is no way to anticipate whether or
not shoulder dystocia would occur. Your obstetrician may not identify the issue until after you have
delivered your baby's head. It becomes obvious when your baby's head emerges and then pulls back against
the space between your vagina and rectum (perineum).