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Doctor insights on: Causes Of Shoulder Dystocia

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What is shoulder dystocia?

What is shoulder dystocia?

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. ...Read more

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What is a shoulder dystocia?

What is a shoulder dystocia?

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. ...Read more

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Tell me about shoulder dystocia?

Tell me about shoulder dystocia?

Serious complication: Shoulder dystocia occurs when the baby's head delivers but the shoulders are too big to come through. This results in injury to the chest outlet (fracture of the clavicle), arm (fracture of the humerus) and/or the nerves traveling from the neck to the arm. Some of the nerve injuries are permanent and result in congenital arm paralysis. This dire complication occurs in large babies and/ big mothers. ...Read more

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What are the tests for possible delivery with shoulder dystocia?

What are the tests for possible delivery with shoulder dystocia?

There isn't one: It is generally impossible to tell beforehand if shoulder dystocia will occur. ...Read more

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What is the significance of preganglionic in shoulder dystocia cases?

What is the significance of preganglionic in shoulder dystocia cases?

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. ...Read more

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Why is an episiotomy standard practice when trying to resolve shoulder dystocia?

Why is an episiotomy standard practice when trying to resolve shoulder dystocia?

More room: Cutting an episiotomy increased room to deliver the posterior shoulder. The anterior shoulder is caught under the pubic bone, and you can't create room in that direction. ...Read more

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Is there other reasons to use the zavanelli maneuver other than shoulder dystocia?

Is there other reasons to use the zavanelli maneuver other than shoulder dystocia?

Zavanelli: It's a maneuver of last resort in cases of severe shoulder dystocia. I can think of at least 1 other circumstance in which an obstetrician might be desperate enough to think of using the Zavanelli. If there was a very short umbilical cord and/or a nuchal cord that was so tight that it could not be cut without risking injury to the baby. I don't know of any such case reports but it's possible. ...Read more

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Hi, my first pregnancy was a traumatic one, was induced and had my baby after 18 hours, with shoulder dystocia, Would you advice CS? now pregnant.

Hi, my first pregnancy was a traumatic one, was induced and had my baby after 18 hours,  with shoulder dystocia, Would you advice CS? now pregnant.

Not necessarily: Each pregnancy is different in its conduct and labor progress, and the events of the first pregnancy will not necessarily be repeated in the second. A vaginal birth with the 2nd pregnancy may go very smoothly and if all else "fails" thank God for safe Cesarean sections. ...Read more

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Is C-section necsisary for 4th baby after 3rd was shoulder dystocia delivery? All perv were vaginal. All less than 8 lbs., no diabetes or obesity in

Is C-section necsisary for 4th baby after 3rd was shoulder dystocia delivery?  All perv were vaginal.  All less than 8 lbs., no diabetes or obesity in

It will be offered: Since the recurrence rate of shoulder dystocia is relatively high and the consequences can be grave, a c-section should be offered or even highly recommended to you. You must weigh all options and make the best decision for you and your baby in conjunction with your doctor. ...Read more

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How will ob doctor help the delivery of a big baby with muster dystocia?

How will ob doctor help the delivery of a big baby with muster dystocia?

Muster not heard of: I believe you mean shoulder dystocia which is a problem with large babies. Different manuevers are done by the OB to deliver the shoulder. ...Read more