Shoulder dystocia: Difference between revisions
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==Background== | |||
==Clinical Presentation=== | |||
==Differential Diagnosis== | |||
==Diagnosis== | |||
==Treatment== | ==Treatment== | ||
HELPER | '''HELPER''' | ||
*'''H''' call for help | |||
*'''E''' episiotomy (or episioproctotomy) to increase the anetroposterior diameter of passage | |||
*'''L''' Legs flex (McRoberts maneuver) | |||
*'''P''' Pressure- suprapubic pressure and Rubin’s maneuver (applying shoulder pressure to the fetus to decreases the bisacromial diameter) | |||
*'''E''' Enter the vagina and attempt Wood’s corkscrew maneuver by pushing the most accessible shoulder toward the chest to corkscrew the shoulders through | |||
*'''R''' Remove posterior arm by sweeping it across the chest and bring fetal hand to the chin, grasp and pull out of the birth canal and across the face | |||
==See Also== | |||
*[[Emergent delivery]] | |||
==Source== | ==Source== | ||
[[Category:OB/GYN]] | [[Category:OB/GYN]] | ||
Revision as of 15:29, 25 March 2015
Background
Clinical Presentation=
Differential Diagnosis
Diagnosis
Treatment
HELPER
- H call for help
- E episiotomy (or episioproctotomy) to increase the anetroposterior diameter of passage
- L Legs flex (McRoberts maneuver)
- P Pressure- suprapubic pressure and Rubin’s maneuver (applying shoulder pressure to the fetus to decreases the bisacromial diameter)
- E Enter the vagina and attempt Wood’s corkscrew maneuver by pushing the most accessible shoulder toward the chest to corkscrew the shoulders through
- R Remove posterior arm by sweeping it across the chest and bring fetal hand to the chin, grasp and pull out of the birth canal and across the face