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What should be documented after shoulder dystocia?

In the case of shoulder dystocia, it is recommended that your delivery note include the following: When and how you diagnosed the dystocia. Also, the position and rotation of the neonate's head. The physicians, nurses and other personnel attending the delivery.

Why is shoulder dystocia emergency?

Shoulder dystocia is an obstetric emergency in which normal traction on the fetal head does not lead to delivery of the shoulders. This can cause neonatal brachial plexus injuries, hypoxia, and maternal trauma, including damage to the bladder, anal sphincter, and rectum, and postpartum hemorrhage.

What is the most common complication of 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 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 complications are associated with shoulder dystocia?

What problems can shoulder dystocia cause? Fractures to the collarbone and arm. Damage to the brachial plexus nerves. These nerves go from the spinal cord in the neck down the arm. ... Lack of oxygen to the body (also called asphyxia). In the most severe cases, this can cause brain injury or even death.

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What are the newborn complications of shoulder dystocia?

Fetal complications resulting from shoulder dystocia include brachial plexus and palsy injuries (Erb's, Klumpke, and Erb-Duchenne-Klumpke palsy), fractures (clavicle or humerus), hypoxia (with or without neurologic damage), and death.

How do you fix 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 complications are associated with shoulder dystocia?

What problems can shoulder dystocia cause? Fractures to the collarbone and arm. Damage to the brachial plexus nerves. These nerves go from the spinal cord in the neck down the arm. ... Lack of oxygen to the body (also called asphyxia). In the most severe cases, this can cause brain injury or even death.

What is the primary medical management for 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 is the most common fetal complication of shoulder dystocia?

The most common complication of shoulder dystocia in your baby is brachial plexus palsy. The brachial plexus nerves run from your baby's spinal cord in their neck through their arm. These nerves are responsible for providing feeling and movement in your baby's shoulder, arm and hand.

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What should be documented after shoulder dystocia?

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