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Chapter 19 - Shoulder Dystocia

from Section 2 - Labor and Delivery

Published online by Cambridge University Press:  23 February 2023

By
Amira El-Messidi  and
Robert Gagnon
Edited by
Amira El-Messidi  and
Alan D. Cameron
Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
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Summary

You are covering an obstetrics clinic for your colleague who left for vacation. A 30-year-old G2P1 at 37+2 weeks’ gestation by first-trimester sonogram presents for a prenatal visit. Screening tests revealed a male fetus with a low risk of aneuploidy and a normal second-trimester morphology sonogram. Maternal investigations were unremarkable in the first trimester. Your colleague’s note from a second-trimester prenatal visit details the counseling provided with regard to prior shoulder dystocia; a recent note indicates the intent to review management during this visit.

Keywords

Shoulder dystociaRisk factorsDefinitionsUmbilical arterial blood analysisCounsellingComplicationsKlumpke’s palsyErb’s palsyManagementDelivery maneuversDocumentation, checklist
Type
Chapter
Information
OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
 , pp. 263 - 273
Publisher: Cambridge University Press
Print publication year: 2023

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References

Suggested Readings

Chauhan, SP, Gherman, R, Hendrix, NW, et al. Shoulder dystocia: comparison of the ACOG practice bulletin with another national guideline. Am J Perinatol. 2010;27(2):129–136.CrossRefGoogle ScholarPubMed
Gilstrop, M, Hoffman, MK. An update on the acute management of shoulder dystocia. Clin Obstet Gynecol. 2016;59(4):813–819.CrossRefGoogle ScholarPubMed
Gurewitsch Allen, ED. Recurrent shoulder dystocia: risk factors and counseling. Clin Obstet Gynecol. 2016;59(4):803–812.CrossRefGoogle ScholarPubMed
Moni, S, Lee, C, Goffman, D. Shoulder dystocia: quality, safety, and risk management considerations. Clin Obstet Gynecol. 2016;59(4):841–852.CrossRefGoogle ScholarPubMed
Practice Bulletin No 178: shoulder dystocia. Obstet Gynecol. 2017;129(5):e123–e133.Google Scholar
Royal College of Obstetricians and Gynaecologists. Shoulder dystocia. Green-Top Guideline No. 42, 2012. 2nd ed. Available at www.rcog.org.uk/en/guidelines-research-services/guidelines/gtg42/. Accessed March 5, 2021.Google Scholar
Macrosomia: ACOG Practice Bulletin, No. 216. Obstet Gynecol. 2020;135(1):e18–e35.CrossRefGoogle Scholar
Menticoglou, S. Shoulder dystocia: incidence, mechanisms, and management strategies. Int J Women’s Health. 2018;10:723–732.CrossRefGoogle ScholarPubMed
Ouzounian, JG. Shoulder dystocia: incidence and risk factors. Clin Obstet Gynecol. 2016;59(4):791–794.CrossRefGoogle ScholarPubMed
Sentilhes, L, Sénat, MV, Boulogne, AI, et al. Shoulder dystocia: guidelines for clinical practice from the French College of Gynecologists and Obstetricians (CNGOF). Eur J Obstet Gynecol Reprod Biol. 2016;203:156–161.CrossRefGoogle ScholarPubMed

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