Neonatal complications: recognition and prompt treatment of shoulder dystocia

Neonatal complications: recognition and prompt treatment of shoulder dystocia

Collection:
Health Policy and Services Research
Series Title(s):
Pennsylvania patient safety advisory
Contributor(s):
Pennsylvania. Patient Safety Authority.
ECRI (Organization)
Institute for Safe Medication Practices.
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, c2009
Language(s):
English
Format:
Text
Subject(s):
Birth Injuries -- etiology
Dystocia -- therapy
Fetal Monitoring -- methods
Obstetric Labor Complications -- prevention & control
United States
Genre(s):
Technical Report
Abstract:
The most common injuries associated with shoulder dystocia include fractures, brachial plexus nerve damage, and birth asphyxia. Between June 2004 and October 2008, the Pennsylvania Patient Safety Authority received 316 reports involving shoulder dystocia. Neonatal injuries were identified in 124 (39%) of these reports and included fractures, brachial plexus injuries, and death. There are several antepartum and intrapartum risk factors that contribute to shoulder dystocia, such as maternal gestational diabetes, fetal macrosomia, documented anencephaly, the use of forceps or vacuum extraction, and precipitous or prolonged second stage of labor. Shoulder dystocia risk management involves identification and communication of patients at risk for shoulder dystocia before delivery, the management of shoulder dystocia when it occurs to minimize potential injury to fetus and mother, thorough documentation and treatment upon discovery of the problem, and ongoing interdisciplinary simulation drills for all obstetric personnel that include the application of external and/or internal maneuvers.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-DC license. (More information)
Illustrations:
Illustrations
NLM Unique ID:
101561957 (See catalog record)
Permanent Link:
http://resource.nlm.nih.gov/101561957