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A 42-year-old member asked:

what is shoulder dystocia?

3 doctor answers6 doctors weighed in
Dr. Megan Bird
Obstetrics and Gynecology 19 years experience
Stuck Shoulders: A shoulder dystocia is when the shoulders get stuck after the head delivers.Most of the time it is mild and resolves quickly. Rarely it can be very dangerous for the baby, causing nerve damage, brain damage and rarely fetal death. It is hard to prevent. The most important thing is to remain calm and listen to your doctor and nurses during the pushing phase. They can help you push at the right time.
Dr. Nikolaos Zacharias
Maternal-Fetal Medicine 26 years experience
Birth emergency!: Shoulder dystocia occurs when the baby's head is delivered vaginally but the shoulders take more than a minute to deliver. This can cost the baby its life, brain or nerves, or it may only cause a fracture and mild perinatal injury. If you have shoulder dystocia, permanent injury to the baby's brachial (arm) plexus is anticipated in 0.5-1.6% of cases with congenital paralysis of that arm.
Dr. Nikolaos Zacharias
Maternal-Fetal Medicine 26 years experience
Severe labor problem: Shoulder dystocia occurs when the baby's head is delivered vaginally but the shoulders take more than a minute to deliver. This can cost the baby its life, brain or nerves, or it may only cause a fracture and mild perinatal injury. If you have shoulder dystocia, permanent injury to the baby's brachial (arm) plexus is anticipated in 0.5-1.6% of cases with congenital paralysis of that arm.

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A 21-year-old member asked:

Anyone have advice on how to treat bursitis of the shoulder at home?

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Dr. Frank Holmes
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Rest, ice, NSAIDs: Assuming the diagnosis of bursitis is correct, initial treatment includes rest from aggravating activities (particularly overhead activities and lifting), ice to the shoulder for 20 minutes 3-4 times/day and anti-inflammatories (nsaids) such as advil or aleve (naproxen). Make sure that you read the warning label before taking these. Do realize that subacromial bursitis often occurs with a rotator cuff tear.
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A 31-year-old member asked:

What is the best treatment for a dislocated shoulder?

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A 33-year-old member asked:

Tell me about shoulder dystocia?

2 doctor answers5 doctors weighed in
Dr. Wayne Ingram
Specializes in Obstetrics and Gynecology
OB difficluty: Shoulder dystocia occurs when the baby descending into the pelvis "fails" to rotate under the pubic arch of the mother and the clavicle wedges against the pubic bone. There are OB manuevers to"unstick" the child for vaginal delivery, but the danger is that the fetal head may already be outside the mother and trying to "breathe". Cesarean sections are common.
A 41-year-old member asked:

What is the significance of preganglionic in shoulder dystocia cases?

1 doctor answer1 doctor weighed in
Dr. Robert Kent
Physical Medicine and Rehabilitation 12 years experience
Complex question: This has to do with where the nerve tear occurred. The ganglion is just off the spinal cord and shoulder dysytocia brachial plexus injuries can occur before or after. Preganglionic injuries tend to have a poorer outcome and can cause a related horners syndrome as well. Because of where the injury is, there tends to be less spontaneous healing or surgical options. I hope this answer helps.

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Last updated Dec 9, 2013

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