title: Emergency department management of shoulder dystocia.
abstract: BACKGROUND
  Precipitous obstetric deliveries can occur outside of the labor and delivery suite, often in the emergency department (ED). Shoulder dystocia is an obstetric emergency with significant risk of adverse outcome.
  
  
  OBJECTIVE
  To review multiple techniques for managing a shoulder dystocia in the ED.
  
  
  CONCLUSIONS
  We review various techniques and approaches for achieving delivery in the setting of shoulder dystocia. These include common maneuvers, controversial interventions, and interventions of last resort.
  
  
  CONCLUSIONS
  Emergency physicians should be familiar with multiple techniques for managing a shoulder dystocia to reduce the chances of fetal and maternal morbidity and mortality.
authors.affiliation: Department of Emergency Medicine, Temple University School of Medicine, Philadelphia, Pennsylvania.
authors.forename: Daniel A
authors.initials: DA
authors.lastname: Del Portal
authors.affiliation: Department of Emergency Medicine, Temple University School of Medicine, Philadelphia, Pennsylvania.
authors.forename: Amanda E
authors.initials: AE
authors.lastname: Horn
authors.affiliation: Department of Emergency Medicine, University of California, San Diego Medical Center, San Diego, California.
authors.forename: Gary M
authors.initials: GM
authors.lastname: Vilke
authors.affiliation: Department of Emergency Medicine, University of California, San Diego Medical Center, San Diego, California.
authors.forename: Theodore C
authors.initials: TC
authors.lastname: Chan
authors.affiliation: Department of Emergency Medicine, Temple University School of Medicine, Philadelphia, Pennsylvania.
authors.forename: Jacob W
authors.initials: JW
authors.lastname: Ufberg
mesh_terms: D036861:Delivery, Obstetric / Q000379:methods*; D004420:Dystocia / Q000175:diagnosis / Q000628:therapy*; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D056888:Patient Positioning; D011187:Posture; D011247:Pregnancy; D012782:Shoulder
keywords: emergency department; shoulder dystocia