An Update on the Acute Management of Shoulder Dystocia.
Shoulder dystocia continues to challenge obstetrical providers and therefore the management must evolve. The available literature demonstrates clear value in both simulation training and having a clear algorithmic approach. Similarly, the available literature suggests that delivery of the posterior arm should be prioritized. Several new techniques such as the Menticoglou maneuver, Gaskin's maneuver, and the posterior axilla sling traction technique offer obstetrical choices after more traditional techniques have failed.
Department of Obstetrics & Gynecology, Christiana Care Health System, Newark, Delaware.
Marisa
M
Gilstrop
Matthew K
MK
Hoffman
D001132:Arm; D001720:Birth Injuries / Q000209:etiology / Q000517:prevention & control*; D036861:Delivery, Obstetric / Q000009:adverse effects / Q000379:methods*; D004420:Dystocia / Q000628:therapy*; D004630:Emergencies; D005260:Female; D006801:Humans; D009774:Obstetrics / Q000193:education / Q000379:methods; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D012189:Retrospective Studies; D012782:Shoulder; D000066908:Simulation Training