title: Precipitous and difficult deliveries.
abstract: Any delivery in the emergency department is considered a precipitous birth and is an anxiety-producing event. Many deliveries proceed without incident. However, the emergency physician must be prepared for several dreaded scenarios, such as nuchal cord, shoulder dystocia, and breech birth. This article reviews the basics, complications, and management of such deliveries.
authors.affiliation: Hofstra North Shore - LIJ School of Medicine, Hempstead, NY, USA. dsilver1@nshs.edu
authors.forename: David W
authors.initials: DW
authors.lastname: Silver
authors.forename: Frank
authors.initials: F
authors.lastname: Sabatino
mesh_terms: D001946:Breech Presentation / Q000175:diagnosis* / Q000628:therapy*; D036861:Delivery, Obstetric / Q000379:methods; D004420:Dystocia / Q000175:diagnosis* / Q000628:therapy*; D004630:Emergencies; D004841:Episiotomy; D005260:Female; D006801:Humans; D007744:Obstetric Labor Complications / Q000175:diagnosis / Q000628:therapy; D056888:Patient Positioning; D011247:Pregnancy; D012307:Risk Factors; D014710:Version, Fetal / Q000379:methods*