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Doctor insights on: Does Delivery With Shoulder Dystocia Cause Clavicular Fracture In Baby

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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

Dr. Julie Abbott
792 doctors shared insights

Fracture (Definition)

A fracture is a broken bone. As there is cartilage at the end of many bones at the joint, a fracture may also include a break in the cartilage. Fractures and broken bones are the same thing. It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. Fractures may be displaced or ...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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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 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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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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How are broken collarbone/fractured clavicle injuries treated?

How are broken collarbone/fractured clavicle injuries treated?

Majority are treated: In a sling + pain meds, but some are treated surgically if the bone fragments are widely separated, or if its an open fx (skin is broken over the fx site), or if there is an associated injury to a nerve or a vessel. ...Read more

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How could I tell if my broken collarbone (fractured clavicle) is healing?

How could I tell if my broken collarbone (fractured clavicle) is healing?

Pain level and xrays: The pain should be decreasing over the course of days/weeks, but that actually does not necessarily mean that the bone itself is healing. The only sure way to tell is repeat x-rays. ...Read more

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If a child falls and lands on the floor with his/her hands.. Is it possible that it could cause a slight fracture to the collarbone?

If a child falls and lands on the floor with his/her hands.. Is it possible that it could cause a slight fracture to the collarbone?

Depends on situation: The collar bone is one of the most often broken bones of the body.It is often cracked after a fall with the kid falling at an angle that involves falling more toward one shoulder. ...Read more

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Does hemachromatosis cause avascular narcosis? I was diagnosis with hemachromatosis in 03, surgery for fractured talus in 09, and may have avn in shoulder.

Does hemachromatosis cause avascular narcosis? I was diagnosis with hemachromatosis in 03,  surgery for fractured talus in 09, and may have avn in shoulder.

Not AVN: Hemachromatosis is often an undiagnosed cause of major joint arthritis requiring joint replacement. Your shoulder may just have advanced osteoarthritis associated with hemachromatosis. It can have the same appearance as avn. ...Read more

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Can a shoulder fracture cause scapular dyskinesis?

Can a shoulder fracture cause scapular dyskinesis?

Maybe, but...: Damage to the long thoracic nerve can cause winging of the scapula. This could potentially happen from a scapular or rib fracture, but as the nerve runs along the chest wall, other fracture locations are unlikely to damage that nerve. ...Read more

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Could my rib fractures cause shoulder bursitis?

Could my rib fractures cause shoulder bursitis?

It's possible: it could've change your mechanics of the way you use your shoulder. Another thought is that whatever caused the accident and the rib fractures could have also injured your shoulder and that is why you developed the bursitis. ...Read more

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I have three compression fractures in my back and now havin neck and shoulder pain running down my arm what causes this? None

If : If you have compression fractures, arthritis, and degenerative disc disease in your back, it's likely the same processes are occurring in your neck. When the nerve roots in your neck are pinched or irritated by bulging discs or osteophytes (bone spurs), you could have pain, numbness or other sensations in your arms and hands. (it's like having sciatica in your arms.) if left untreated, you could eventually develop weakness in your upper extremities. See your doctor about these symptoms. He/she may want to arrange an MRI of your neck. Good luck! ...Read more

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Rear ended 2 months ago, shoulder fracture (not broken). A week ago a jump caused shoulder pain. Now tingling in arms and legs. Because of the injury?

Rear ended 2 months ago, shoulder fracture (not broken). A week ago a jump caused shoulder pain. Now tingling in arms and legs. Because of the injury?

Yes, it is possible: That the recent trauma is the cause of the nerve impingement. Nerve impingement can be caused by being sandwiched between two spinal bones, pressed by a bulging disc or encroached upon by bony overgrowth. Rec.: see an interventional pain management specialist for further investigation. ...Read more

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Do children get clavicle fracture in child abuse?

Do children get clavicle fracture in child abuse?

It is possible.: Other fractures -- like skull, rib and long bones are more common. Regardless of the type of fracture, if you suspect child abuse, you should find a way to help that child.If necessary, contact the child's dr, or teacher, or a county child protective services agency. ...Read more

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Can a having a fractured skull as an infant cause lower IQ later in life?

Can a having a fractured skull as an infant cause lower IQ later in life?

Depends: The crack itself does not mean a kid will suffer diminished performance later on. Some babies have relatively simple fractures from falls or incidental trauma & don't mess up the brain inside. Some may suffer brain injury to a minor or major degree & the potential outcome depends on the amount & location of brain injury involved. The quicker the recovery the less likely an impact on iq. ...Read more

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Dr. Jeffrey Wint
2,299 doctors shared insights

Broken Bone (Definition)

Is it broken or fractured is a question I am often asked. The answer is basically that a broken or fractured bone is the same thing. A fracture means a break in the cortex or the strong layer of outer bone cells. In an adult the average time for that to heal varies greatly but is often considered to ...Read more