ABSTRACT
Condition that happens when one or both of the
baby’s shoulders get stuck during vaginal deliveries.
SHOULDER
DYSTOCIA
, SHOULDER DYSTOCIA
DEFINITION:
Shoulder dystocia occurs when either the anterior or posterior (rare) fetal
shoulder has impacts on the maternal symphysis or on the sacral
promontory.
RISK FACTORS
History of shoulder dystocia
Macrosomia
Diabetes
Obesity
Induced labor
Prolonged 1st/2nd stage
Secondary arrest of labor
Post-maturity
Multiparity
Mid-pelvic instrumental delivery
Anencephaly
Fetal ascites
COMPLICATION
FETAL MATERNAL
Asphyxia Cervical laceration
Erb’s palsy Vaginal tear
Klumpke’s palsy Perineal tear
Humerus fracture Postpartum hemorrhage
Clavicle fracture Rupture of uterus
Perinatal morbidity Sacroiliac joint dislocation
Perinatal mortality Hemorrhage
Condition that happens when one or both of the
baby’s shoulders get stuck during vaginal deliveries.
SHOULDER
DYSTOCIA
, SHOULDER DYSTOCIA
DEFINITION:
Shoulder dystocia occurs when either the anterior or posterior (rare) fetal
shoulder has impacts on the maternal symphysis or on the sacral
promontory.
RISK FACTORS
History of shoulder dystocia
Macrosomia
Diabetes
Obesity
Induced labor
Prolonged 1st/2nd stage
Secondary arrest of labor
Post-maturity
Multiparity
Mid-pelvic instrumental delivery
Anencephaly
Fetal ascites
COMPLICATION
FETAL MATERNAL
Asphyxia Cervical laceration
Erb’s palsy Vaginal tear
Klumpke’s palsy Perineal tear
Humerus fracture Postpartum hemorrhage
Clavicle fracture Rupture of uterus
Perinatal morbidity Sacroiliac joint dislocation
Perinatal mortality Hemorrhage
