![]() ![]() 2002 53(1):42–7.Ĭhauhan SP, Rose CH, Gherman RB, Magann EF, Holland MW, Morrison JC. Shoulder dystocia and brachial plexus injury: a population-based study. The McRoberts’ maneuver for the alleviation of shoulder dystocia: how successful is it? Am J Obstet Gynecol. Gherman R, Goodwin TM, Souter I, Neumann K, Ouzounian J, Paul R. Shoulder dystocia-is it predictable? Eur J Obstet Gynecol. Geary M, McParland P, Johnson H, Stronge J. Objective definition of shoulder dystocia: a prospective evaluation. Obstetric maneuvers for shoulder dystocia and associated fetal morbidity. 2006 18:123–8.Īmerican College of Obstetrics and Gynecologists. ![]() Shoulder dystocia and injuries: prevention and management. A comparison of obstetric maneuvers for the acute management of shoulder dystocia. Hoffman M, Bailit J, Branch DW, Burkman R, Veldhusien P, Lu L, Kominiarek M, et al. Shoulder dystocia: the unpreventable obstetric emergency with empiric management guidelines. Gherman R, Chauhan S, Ouzounian J, Lerner H, et al. The Baby’s Coming!!?” A Nurse’s guide to prepare for a safe precipitous delivery in the emergency department. Unexpected birth in the emergency department: the role of the advanced practice nurse. Preparing for precipitous vaginal deliveries in the Emergency Department. ED precipitous labor and delivery flow sheet. Late vs early clamping of the umbilical cord in full-term neonates: systematic review and meta-analysis of controlled trials. Early skin-to-skin contact for mothers and their healthy newborn infants. Short labor: characteristics and outcome. Precipitate labor: higher rates of maternal complications. Accidental out-of-hospital deliveries: an obstetric and neonatal case control study. A retrospective study of unplanned out-of-hospital deliveries. Sheiner E, Hershkovitz R, Shoham I, Erez O, Hadar A, Mazor M. Clinical significance of precipitous labor. Philadelphia, PA: Churchill Livingston 2007. In: Obstetrics: normal and problem pregnancies. Breech delivery is best managed by allowing the mother to deliver the fetus with no assistance in delivery until the umbilicus is visualized. Management of a prolapsed umbilical cord should start with elevation of the presenting fetal part to alleviate pressure on the umbilical cord and expedited obstetric assistance for emergent cesarean section. If a shoulder dystocia is encountered, an algorithm of maneuvers can be employed and should start with McRoberts maneuver and application of suprapubic pressure and proceed to include rotational or internal maneuvers. Complications are rare but include shoulder dystocia, prolapsed umbilical cord, and breech presentation. Precipitous or emergency department (ED) delivery is a stressful event that requires preparation to comfortably approach and safely manage-often including development of ED delivery checklists or kits and appropriate expedited consultant notification (i.e., paging lists).
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