CRICO CRICO home

CRICO MDs ONLY: Register to access your facesheet, and more.

Advanced Search

  • Topic
  • Specialty
  • Content Type

RESET SEARCH CRITERIA

Also Related

< Back To Patient Safety
0 dislikes

< Hide

Comments For

OB Guideline 25: Management of Shoulder Dystocia

0 comments

< Shrink

Add Your Voice

All comments are posted anonymously. Your comment will be attributed to: "Anonymous user."

post comment

Delete

Are you sure you want to delete this comment?

OB Guideline 25: Management of Shoulder Dystocia

Related to: Clinical Guidelines, Diagnosis, Documentation, Medication, Nursing, Obstetrics

Diagnosis of shoulder dystocia is made when the practice of gentle downward guidance of the fetal head fails to accomplish delivery of the anterior shoulder requiring the need for additional obstetrical maneuvers for the delivery of the fetal shoulders.1,2

A plan for the use of maneuvers to alleviate the shoulder dystocia and obtaining assistance by additional members of the obstetrical team should be in place since shoulder dystocia is most often an unpredictable and unpreventable obstetrical emergency.

Documentation

If a shoulder dystocia occurs, this event and the details used to resolve it must be entered into the medical record as an operative report and dictated (or the electronic equivalent completed) immediately after the delivery.

This information should include:

  1. time of delivery of the fetal head and the time of complete expulsion of the body,
  2. maneuvers used,
  3. Apgars of the newborn,
  4. maternal complications,
  5. infant complications, and
  6. names of staff in attendance at the delivery.

The clinician’s hospital risk management unit should be notified of all cases of infant complications.

Institutional Responsibility

Each obstetrical institution is responsible for developing a plan for obstetrical safety drills to prepare staff in the event of high acuity, low frequency emergent events such as shoulder dystocia.

 


  1. Shoulder dystocia. ACOG Practice Bulletin No. 40. American College of Obstetricians and Gynecologists. Obstet Gynecol. 2002;100:1045–50.
  2. Barbieri R. The natural history of obstetric brachial plexus injury. OBG Management. 2013;25(2):8–14.

 

 << Guideline 24             Web Guideline Home Page              Guideline 26 >>

May 1, 2014
0 dislikes

< Back To Patient Safety