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Doctor insights on: Cephalopelvic Disproportion Delivery With Shoulder Dystocia

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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

Baby Too Large For Mother's Pelvis (Definition)

Cephalopelvic disproportion is a condition where the baby's head or body is too big to fit through the mother's pelvis. This often leads to "failure to progress" in labor, and is a common indication for ...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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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 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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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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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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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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I wanted to know is cephalopelvic disproportion genetic?

I wanted to know is cephalopelvic disproportion genetic?

Head is too large...: The easiest way to visualize this is that the head is too large to pass through the birth canal. Cephalo means head and pelvic is the birth canal. ...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

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What are the symptoms of shoulder getting stuck during delivery?

What are the symptoms of shoulder getting stuck during delivery?

Shoulder dystocia: Shoulder dystocia is a serious problem, resulting in the infant being stuck in the birth canal. Your obstetrician is well versed in dealing with this problem during delivery. ...Read more

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What kind of problem is a shoulder getting stuck during delivery (birth)?

What kind of problem is a shoulder getting stuck during delivery (birth)?

Potentially big: Shoulder dystocia occurs when the baby's shoulders are stuck behind the pubic bone. Some babies end up with permanent neurologic injuries from this problem, although most have only transient effects from the maneuvers required to complete the delivery. ...Read more

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My daughter had brachial plexopathy in her rt. Hand due to forcep delivery.The five surgery already did, little improvement , not finger movement yet.

My daughter had brachial plexopathy in her rt. Hand due to forcep delivery.The five surgery already did, little improvement , not finger movement yet.

I am sorry: For both your suffering. I am also very that you are both alive and have each other to love, and hold. Neurosurgeon involved can give further options, including state of art choices. Be of good courage. ...Read more

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My shoulder was broken Till how much it can be good same ago?

My shoulder was broken
Till how much it can be good same ago?

Depends: The time needed for healing of shoulder fractures depends on what part of the shoulder, displacement, fragmentation, and whether surgery was needed to repair it. I would suggest a virtual consult with an orthopedist for more accurate prediction. ...Read more

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How to know what exercises could I do at home to keep my shoulder from freezing up?

How to know what exercises could I do at home to keep my shoulder from freezing up?

Stretching: Do most of them lying down. In a lying down position, use your other arm to help lift you affected side up and down. In a seated position, you can use a swivel chair to move outwards while you hold onto the edge of a table with your hand. You can also wall walks with your fingers up and down the wall or shower. Make sure you are cleared to do shoulder motion. Sometimes we don't want you to. ...Read more

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My wife have pain in her shoulder for the last two days. Is there anything we should do?

My wife have pain in her shoulder for the last two days. Is there anything we should do?

Mild symptoms?NSAIDs: The shoulder is a complex joint with many different potential pain generators (ac joint, glenohumeral joint, rotator cuff, bursa, biceps tendon, etc.) that may become damaged or inflamed. A good history and physical exam by an experienced clinician can help identify the pain generator(s) and advise your wife on a personal treatment plan. If pain is not that bad, nsaids under supervision of pcp. ...Read more

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It hurts to even move my shoulder, had this happening for about 1 week about, what could this mean?

C a shoulder guy: Being that sore 4 so long, it is more than a minor problem, so get in 4 an eval ; find out what's wrong. Don't wait 2 long ; miss an opertunity 4 early treatment, which if not done may lead 2 a chronic problem. ...Read more