Chapter 77. Shoulder Dystocia1

  1. Errol R. Norwitz MD, PhD Professor Director1,
  2. Michael A. Belfort MD, PhD Professor Director2,3,
  3. George R. Saade MD Professor4 and
  4. Hugh Miller MD5

Published Online: 6 MAY 2010

DOI: 10.1002/9781444314489.ch77

Obstetric Clinical Algorithms: Management and Evidence

Obstetric Clinical Algorithms: Management and Evidence

How to Cite

Norwitz, E. R., Belfort, M. A., Saade, G. R. and Miller, H. (2010) Shoulder Dystocia1, in Obstetric Clinical Algorithms: Management and Evidence, Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444314489.ch77

Author Information

  1. 1

    Department of Obstetrics, Gynecology & Reproductive Sciences, Yale-New Haven Hospital, New Haven, CT, USA

  2. 2

    Department of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, UT, USA

  3. 3

    Perinatal Research and Fetal Therapy Program, HCA Healthcare, Nashville, TN, USA

  4. 4

    Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, TX, USA

  5. 5

    Department of Obstetrics and Gynecology, University of Arizona, Tucson, AZ, USA

Publication History

  1. Published Online: 6 MAY 2010
  2. Published Print: 23 APR 2010

ISBN Information

Print ISBN: 9781405181112

Online ISBN: 9781444314489

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Keywords:

  • shoulder dystocia;
  • shoulder dystocia - impaction of anterior shoulder of fetus behind pubic symphysis;
  • risk factors for shoulder dystocia - fetal macrosomia, diabetes mellitus, obesity;
  • McRobert maneuver - hyperflexion of patient's thighs onto abdomen;
  • deliberate fracture of anterior clavicle - pushing clavicle outwards against ramus of maternal pubis;
  • brachial plexus paralysis - common neurologic birth injury