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Patient Safety Checklist Number 6 August 2012DOCUMENTING SHOULDER DYSTOCIA Date Patient Date of birth MR # Physician or certified nursemidwife Gravidity/Parity Timing: Onset of active labor Start.

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Nurses play a vital role in obtaining assistance during a shoulder dystocia, keeping time, assisting with maneuvers such as suprapubic pressure, and documenting the dystocia management.

There are two main categories of shoulder dystocia maneuvers: primary maneuvers and secondary maneuvers.

Risk factors Most prominent are a history of prior shoulder dystocia or brachial plexus injury, current fetal macrosomia, maternal obesity, diabetes mellitus, excessive weight gain and dysfunctional labor patterns, especially a long deceleration phase followed by a long second stage.

Avoid strong downward traction until the shoulder is disimpacted. Excessive traction is associated with neonatal trauma including permanent brachial plexus injury. Avoid jerking or tugging on the fetal head during traction as this may be more damaging to the brachial plexus. Avoid fundal pressure.

The immediate steps in the management of shoulder dystocia include: Call for help – shoulder dystocia is an obstetric emergency (will need senior obstetrician, senior midwife and paediatrician in attendance). Advise the mother to stop pushing – this can worsen the impaction.

The 4 maneuvers generally used by obste- tricians to resolve shoulder dystocia are considered the standard of care: • McRoberts maneuver • Suprapubic pressure • Woods screw maneuver • Delivery of the posterior arm Although the order in which the maneuvers are described below is the usual order in which they are ...

Roll the patient over to her hands and knees towards the fetal chest. This manoeuvre requires a mobile compliant woman and may be commonly used by midwives as the first step in the management of shoulder dystocia. In this position the posterior shoulder slips below the sacral promontory allowing delivery.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232