SHOULDER DYSTOCIA

Shoulder dystocia is the condition that the shoulders cannot escape through the pelvis and remain stuck following the arrival of the head during childbirth. It is one of the most urgent situations requiring emergency intervention. It is seen in approximately 0.2 - 2.1% of all births. The incompatibility between the distance between the baby's shoulders and the maternal pelvis dimensions is the shoulder compression at the exit of the birth tract. In the case of shoulder dystocia, trauma and nerve damage may occur in the neck area.
Risk factors:
- Big baby
- Diabetes in the mother
- Obesity in the mother
- Overdue pregnancy
- multiparity
- Advanced maternal age
- Overweight gain during pregnancy (more than 18 kilos)
- Having a large baby before
- Shoulder dystocia at previous births
- Fast delivery
- Epidural anesthesia
- Vacuum, forceps application
The risk of shoulder dystocia increases with increasing baby's weight, but is not always seen in large babies. Shoulder dystocia can be seen in babies whose weight is normal or even below normal. About half of the shoulder dystocia occurs during the birth of babies under 4000 grams. There is no method to make a clear understanding of which pregnancies should be worn during delivery. Shoulder dystocia cannot be predicted and prevented.
Shoulder dystocia is one of the most urgent conditions requiring immediate intervention with birth. The baby's shoulder needs to be rescued as soon as possible, and various maneuvers are carried out respectively. (Suprapubic compression, Mc Robert's maneuver, Wood's screw maneuver, Rubin maneuver, Back arm delivery, Hand-knee maneuver, Zavanelli maneuver, deliberate clavicle break, cleidotomy, symphysiotomy.
Complications that may occur as a result of shoulder dystocia:
- Brachial plexus (nerve) damage in the baby
- Humerus, clavicle fracture in the baby
- Intracranial bleeding in the baby
- Central nervous system damage in the baby
- The rupture of the mother's birth canal
- Atoni
Although shoulder dystocia is an unpredictable and preventable condition, some of the risk factors described above are known. In large babies (over 4500-5000 grams), delivery by cesarean can be considered to prevent this condition.


Facebook Comments

Subscribe to: Post Comments (Atom)

Popular Posts