In this chapter we will explain what shoulder dystocia (SD) is and how it is defined. We will also talk about the risk factors and focus, in particular, on the three most important risk factors: fetal macrosomia, diabetes and previous shoulder dystocia. We will explain that whatever method is used to estimate the fetal weight at term of pregnancy, it has a high margin of error and this error increases with increasing fetal weight. We will explain why, in most cases, shoulder dystocia is unpredictable and unforeseeable so that, generally, the induction of labour or elective caesarean section, for all women with suspected fetal macrosomia are not indicated. We will explain why it is very important to take human factors into account, when trying to solve SD, and why it is good to continually practice the simulation. Finally, we will focus on how to diagnose and manage SD in the best possible way.
Shoulder Dystocia: Overview and Management Strategies
Antonio Ragusa;
2021-01-01
Abstract
In this chapter we will explain what shoulder dystocia (SD) is and how it is defined. We will also talk about the risk factors and focus, in particular, on the three most important risk factors: fetal macrosomia, diabetes and previous shoulder dystocia. We will explain that whatever method is used to estimate the fetal weight at term of pregnancy, it has a high margin of error and this error increases with increasing fetal weight. We will explain why, in most cases, shoulder dystocia is unpredictable and unforeseeable so that, generally, the induction of labour or elective caesarean section, for all women with suspected fetal macrosomia are not indicated. We will explain why it is very important to take human factors into account, when trying to solve SD, and why it is good to continually practice the simulation. Finally, we will focus on how to diagnose and manage SD in the best possible way.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
