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FETAL MANIPULATION FOR MANAGEMENT OF SHOULDER DYSTOCIA

Part of: Bespoke shallow archive Weizmann

Published online by Cambridge University Press:  12 October 2006

EDITH D GUREWITSCH  and
ROBERT H ALLEN
EDITH D GUREWITSCH
Affiliation:
Department of Obstetrics and Gynecology, The John Hopkins University School of Medicine, Baltimore, Maryland, United States of America. Biomedical Engineering, The John Hopkins University School of Medicine, Baltimore, Maryland, United States of America.
ROBERT H ALLEN
Affiliation:
Biomedical Engineering, The John Hopkins University School of Medicine, Baltimore, Maryland, United States of America.
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Extract

Many authors assert that there is essentially nothing that can be done to better manage shoulder dystocia. They will point to injuries that have been proven to occur spontaneously and to a stable or even rising injury rate over the last decade and claim:

  1. that the risk of injury cannot be reduced

  2. that no manoeuvre has been proven superior to another or guaranteed to work in all circumstances

  3. that the choice and sequence of specific shoulder dystocia manoeuvres beyond McRoberts' should be left to the discretion of the birth attendant

  4. that the predominant concern during shoulder dystocia is its expedient resolution, by whatever means necessary, to avoid central nervous system damage or even death.

Type
Research Article
Information
Fetal and Maternal Medicine Review , Volume 17 , Issue 3 , August 2006 , pp. 239 - 280
Copyright
© 2006 Cambridge University Press

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