Top
20
Doctor insights on: Delivery With Shoulder Dystocia Hemorrhage In Mother

Share
1

1
Can alopecia areata be treated in pregnancy with kenalog (triamcinolone) injections or should expectant mothers wait until after delivery?

Can alopecia areata be treated in pregnancy with kenalog (triamcinolone) injections or should expectant mothers wait until after delivery?

I would not advise: Kenalog (triamcinolone) is a Category C agent. Animal studies show adverse fetal harm but no controlled human studies have been done. The OB will be the one to make that call. ...Read more

Dr. Bryan Treacy
769 doctors shared insights

Heavy Bleeding (Definition)

Usually described by physicians as having to change a pad more than every 1-2 hours, passing large clots, change from your previous pattern, needing overnight protection, ...Read more


2

2
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

3

3
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

4

4
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

See 1 more doctor answer
5

5
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

6

6
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

7

7
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

8

8
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

See 1 more doctor answer
9

9
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

See 1 more doctor answer
10

10
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

11

11
My mothers back on the lower shoulder has sharp pain in spasms. Why and how to relieve?

My mothers back on the lower shoulder has sharp pain in spasms. Why and how to relieve?

Multiple Things: Many sources can result in referred pain to the shoulder blade. Along with the neurogenic sources like cervical (c6 for example) and the suprascapular nerve, we also see many patients with occult shoulder pathology have referred pain to this area. Patients who are very flexible can also have occult shoulder instability refer pain to this area. http://theshouldercenter.com/shoulder-pain.htm. ...Read more

12

12
Hi femal 32 & mother, i've been having serve pain for over 7 months now on the left side of my shoulder blade with neck pain too also numbness, heat -?

Hi femal 32 & mother, i've been having serve pain for over 7 months now on the left side of my shoulder blade with neck pain too also numbness, heat -?

See doctor: Severe pain is always alarming and 7 months is a long time. You are a young mother and probably lift your kid often. This could be a shoulder problem, muscle problem or even a cervical spine problem, but only a doctor who has examined you can properly know what is happening and determine what needs to be done. ...Read more

See 1 more doctor answer
13

13
My mothers lower right back underneath her shoulder has been hurting her for two weeks. Any idea what it could be?

My mothers lower right back underneath her shoulder has been hurting her for two weeks. Any idea what it could be?

Possibly muscular: She shold see her doctor and have it checked since it has not improved in 3 weeks. ...Read more

14

14
My mothers lower right back underneath her shoulder has been hurting her for two weeks. Any idea what it could be?

My mothers lower right back underneath her shoulder has been hurting her for two weeks. Any idea what it could be?

Many things: It would be helpful to have more information, but this could be simple muscle strain, a fractured rib, this could also be pain from a pneumonia, referred pain from an inflamed gallbladder, an ulcer could present this way, though rarely. Please have her see a doctor so they can investigate thoroughly. ...Read more

15

15
Mother has White line on shoulder bone x ray. In the middle of the bone. Shoulder pain for months?

Mother has White line on shoulder bone x ray. In the middle of the bone. Shoulder  pain for months?

There is not: enough information to hazard a guess. The description of the xray in non radiologic terms doesn't help much. What did it say in the xray report? ...Read more

16

16
Dear dr, my mother has broken her surgical nick bone, just below her shoulder , could it be put in cast ?

Dear dr,  my mother has broken her surgical nick bone, just below her shoulder , could it be put in cast ?

Probably not: I assume you meant the surgical neck of the humerus. Generally, casting is not necessary, and it should heal well with just a sling and/or shoulder immobilizer. The weight of the arm will hold sufficient traction to the fracture to allow it to heal. She should see an orthopedist for xrays to confirm that it is healing, but casting is probably not necessary. ...Read more

See 1 more doctor answer
17

17
Is there any way of curing a frozen shoulder? My mother has it in her right shoulder and she can't even comb her hair now. Any medicines?

Is there any way of curing a frozen shoulder? My mother has it in her right shoulder and she can't even comb her hair now. Any medicines?

She can be helped: She needs a careful evaluation, as well as imaging like x-rays or other such as MRI to confirm the problem. A frozen shoulder can get better with exercise. You needed an evaluation by rheumatologist or orthopedic surgeon to make sure we have the certain, correct diagnosis. You need to have very intense physical therapy as it may take many months, yes many months, for this to get better ...Read more

See 1 more doctor answer
18

18
My 70 yro diabetic mother in addition to the shoulder blade/chest pain is having fainting spells and weight loss. How concerned should I be?

My 70 yro diabetic mother in addition to the shoulder blade/chest pain is having fainting spells and weight loss. How concerned should I be?

Quite concerned: The symptom complex you describe could herald something very serious. She should have a complete physical examination and an ongoing evaluation based on the findings of her exam. ...Read more

See 2 more doctor answers
19

19
Hot Dull throbbing pain below shoulder blades, more so on right side & laying on back. Is it related to my Hemorrhagic gastritis & peptic ulcers?

Hot Dull throbbing pain below shoulder blades, more so on right side & laying on back. Is it related to my Hemorrhagic gastritis & peptic ulcers?

Peptic ulcer: Discomfort from a penetrating duodenal ulcer may radiate to the back. You should be reexamined by your physician or gastroenterologist if you're experiencing persisting discomfort. Hemorrhagic gastritis usually causes abdominal discomfort and black bowel movements. ...Read more

20

20
My 70 yro diabetic mother is experiencing pain to her left shoulder and lung when she laughs/coughs. She is getting over a cold. Should i be concerned?

My 70 yro diabetic mother is experiencing pain to her left shoulder and lung when she laughs/coughs. She is getting over a cold. Should i be concerned?

Yes: The symptoms she is having in the time course you describe are concerning for a pneumonia, but could be several other things as well. She should be seen by her primary care doc asap. She should examine her and may order a chest x-ray or other imaging test to better define what is going on. ...Read more