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Category: Obstetrics

SHOULDER DYSTOCIA

SHOULDER DYSTOCIA

A patient presents to the emergency department in labor.  You check and as you look, she pushes the head out which you catch just in time with some counter-pressure to control delivery. But now things stop and the shoulder won’t deliver. You run your finger between the neck and shoulder – no nuchal cord. What do you do next?   The goal is to get the baby out as soon as possible and prevent hypoxic ischemic encephalopathy and brachial plexopathy…

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