Chapter 85. Shoulder Dystocia

  1. John T. Queenan MD Professor Chairman Emeritus2,
  2. John C. Hobbins MD Professor of Obstetrics3,
  3. Catherine Y. Spong MD Chief4
  1. Thomas J. Benedetti MD

Published Online: 30 APR 2009

DOI: 10.1002/9781444312904.ch85

Book Title

Protocols for High-Risk Pregnancies, Fourth Edition

Protocols for High-Risk Pregnancies, Fourth Edition

Additional Information

How to Cite

Benedetti, T. J. (2009) Shoulder Dystocia, in Protocols for High-Risk Pregnancies, Fourth Edition (eds J. T. Queenan, J. C. Hobbins and C. Y. Spong), Blackwell Publishing Ltd., Oxford, UK. doi: 10.1002/9781444312904.ch85

Editor Information

  1. 2

    Department of Obstetrics and Gynecology, Georgetown University School of Medicine, 3257 N Street NW, Washington, DC 20007, USA

  2. 3

    University of Colorado Health Sciences Center, Department of Obstetrics and Gynecology, 4200 East 9th Avenue, B-198, Denver, CO 80262, USA

  3. 4

    National Institute of Child Health and Human Development, Center for Developmental Biology and Perinatal Medicine, Pregnancy and Perinatology Branch, National Institutes of Health, 6100 Executive Bivd, Bethesda, MD 20892-7510, USA

Author Information

  1. University of Washington, Department of Obstetrics and Gynecology, Box 356460, Seattle, WA 98195-6460, USA

Publication History

  1. Published Online: 30 APR 2009
  2. Published Print: 9 SEP 2005

ISBN Information

Print ISBN: 9781405125796

Online ISBN: 9781444312904

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CHAPTER TOOLS

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Keywords:

  • shoulder dystocia - obstetric emergency;
  • “turtle sign” - accomplishing external rotation ;
  • shoulder dystocia - disproportion between fetal size and maternal pelvic capacity;
  • avoiding forceful lateral traction;
  • rotational maneuvers - Wood and Rubin rotations;
  • documentation of delivery maneuvers;
  • timing and sequence of delivery maneuvers

Summary

This chapter contains sections titled:

  • Introduction

  • Pathophysiology and Diagnosis

  • Management

  • Extraordinary Maneuvers

  • Documentation

  • Suggested Reading

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