Sample Form

This form contains patient identifiers, maneuvers performed, shoulder dystocia duration, and maternal and newborn status.

View the PDF
Baby on mom's shoulder


More CRICO Guidelines or Algorithms

CRICO decision support tools.
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    Neonatal Encephalopathy Guidelines

    Guideline
    At the behest of its membership, the Academic Medical Center Patient Safety Organization convened a Task Force to arrive at a set of consensus-based guidelines for the most effective use of therapeutic hypothermia in cases of suspected neonatal encephalopathy.
    discussion in office

    General Informed Consent Guidelines

    Guideline
    A document to assist institutions in reviewing policies, procedures and forms relative to obtaining and documenting informed consent.
    obguidelines1x1

    OB Guideline 15: Assessment and Monitoring in Labor and Delivery

    Guideline
    During prenatal care, the clinician and patient will discuss common events and procedures in labor, including methods of assessing fetal well-being.
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