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What is Shoulder Dystocia?
Shoulder dystocia is a condition that can pass during childbirth and is potentially dangerous . In it , the infant ’s head emerges but the shoulder remains pin down in the pubic bone of the female .
If the baby ’s head teacher is born for longer than a minute and the shoulders do not come forth , doctors view it shoulder dystocia . It is a aesculapian emergency and can cause serious complications for both mother and the baby . It can lead to serious injuries . Sometimes , this stipulation can be managed well with a change of perspective . In severe cases , more important intervention may be take such as breaking the infant ’s clavicle or perform an immediate cesarean .
It is an rare condition and occurs in 0.5 % to 1 % of females.(1 )
Causes and Risk Factors of Shoulder Dystocia
The risk of shoulder dystocia increase if the infant ’s weight is more than 4.5 kilo . Other danger factors include :
Complications of Shoulder Dystocia
If the obstetrical delivery is spry the infant with shoulder dystocia are stomach without any injury . If the delay is longer the chance of complication increase .
Brachial plexus injuryis the most common complication of shoulder joint dystocia and is love to affect 3 - 17 % of babies.(2)It can lead to impairment to the shoulder and cervix . Infants with this complication may suffer from come down movement or difficulties in incite their arms and hands . Most of them go back in a few months while a few may demand operating theater .
Other complications of shoulder dystocia include :
A study done in 2017 , keep up healthcare pro who implemented special protocol for shoulder dystocia . These protocols show that babe with shoulder dystocia if surrender in less than 3 moment will have less risk of complications.(3 )
Management of Shoulder Dystocia
Various proficiency can be adopted for the safe manner of speaking of infants with berm dystocia .
These technique include:(2 )
If the above intervention are uneffective the MD try on other significant measure . These may cause accidental injury to both the female parent and the baby , but may be necessary .
This interposition includes :
Shoulder dystocia is a medical emergency that require quick care . posture change and encouraging pushing can be helpful in avoiding complications . Also , those with shoulder dystocia have a significant risk of another articulatio humeri dystocia . It is therefore important to discuss the history with a doctor and get a precautional treatment plan .
