Emergency Midwifery Skills

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  • Created by: love222
  • Created on: 13-05-16 17:49
DIAGNOSIS
Shoulder Dystocia
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DEFINITION
When additional manouvres such as McRobert's position and suprapubic pressure are required to complete the birth of the baby, after gentle axial traction has failed to release the shoulders during a normal vaginal birth.
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RECOGNITION
Head is slow to advance over the perineum (Creeping). Turtle sign - fetal head retracts against perineum. No restitution, gentle axial traction does not facilitate the delivery.
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INCIDENCE
0.58% to 0.7% of all births (RCOG 2012)
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RISK FACTORS
Marcrosomia >4.5kg, high BMI, poorly controlled diabetes, IOL, previous shoulder dystocia, prolonged 1st & 2nd stage, secondary arrest, and oxytocin augmentation.
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LONG TERM OUTCOMES
Mum = PTSD, PND, PPH, Uterine Rupture, Perineal Trauma. Baby = Hypoxic Brain Injury, Cerebral Palsy, Humeral/Clavicle Fractures, NNU Admission, Death. Dad = PTSD, Bereavement, Financial costs etc.
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Other cards in this set

Card 2

Front

DEFINITION

Back

When additional manouvres such as McRobert's position and suprapubic pressure are required to complete the birth of the baby, after gentle axial traction has failed to release the shoulders during a normal vaginal birth.

Card 3

Front

RECOGNITION

Back

Preview of the front of card 3

Card 4

Front

INCIDENCE

Back

Preview of the front of card 4

Card 5

Front

RISK FACTORS

Back

Preview of the front of card 5
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