Shoulder dystocia ckk edit

Prepared by Dr Chia Kok King Counterchecked by Dr Maziah SHOULDER DYSTOCIA

Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object]

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Risk factors and anticipation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Case-control study ,[object Object],[object Object],Asmah Mansor, Kulenthran Arumugam , Siti Zawiah Omar Department of Obstetrics & Gynaecology, University of Malaya Medical Centre, ( Eur J Obstet Gynecol Reprod Biol. 2010 Mar;149(1):44-6. Epub 2009 Dec 29.)

[object Object],[object Object],Asmah Mansor, Kulenthran Arumugam , Siti Zawiah Omar Department of Obstetrics & Gynaecology, University of Malaya Medical Centre, ( Eur J Obstet Gynecol Reprod Biol. 2010 Mar;149(1):44-6. Epub 2009 Dec 29.)

Prevention ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnosing in labor ,[object Object],[object Object],[object Object],[object Object],Royal College of Obstetricians and Gynaecologists Clinical Guideline-Guideline No 42 Shoulder Dystocia, December 2005

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Intrapartum management ,[object Object],[object Object]

Adapted from Advanced Life Support in Obstetric

H e lp ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],E valuate for E pisiotomy

L eg  The McRoberts Maneuver ,[object Object],[object Object],Royal College of Obstetricians and Gynaecologists Clinical Guideline-Guideline No 42 Shoulder Dystocia, December 2005

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Suprapubic P ressure a.k.a Rubin I maneuver ,[object Object],[object Object],[object Object],Gobbo R, Baxley EG. Shoulder dystocia. In: ALSO: advanced life support in obstetrics provider course syllabus. Leawood, Kan.: American Academy of Family Physicians, 2000.

Internal rotation maneuvers Mr. Kim Hinshaw, consultant obstetrician and gynecologist, Newcastle, England. In: ALSO ®: advanced life support in obstetrics instructor course syllabus. Leawood, Kan.: American Academy of Family Physicians, 2002:67.

R emoval of posterior arm ,[object Object]

R oll the patients to her hands and knees (All Four Position) ,[object Object]

What measures should be taken if first and second-line maneuvers fail? ,[object Object],[object Object]

Last resort maneuvers!! ,[object Object],[object Object],[object Object],Royal College of Obstetricians and Gynaecologists Clinical Guideline-Guideline No 42 Shoulder Dystocia, December 2005

Symphysiotomy ,[object Object],[object Object],[object Object]

Zavanelli manoeuvre ,[object Object],[object Object],[object Object]

Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Risk Factors for Permanent Brachial Plexus Injury ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],Brachial plexus injuries

Documentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Royal College of Obstetricians and Gynaecologists Clinical Guideline-Guideline No 42 Shoulder Dystocia, December 2005

References ,[object Object],[object Object],[object Object],[object Object],[object Object]

Shoulder dystocia ckk edit

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Shoulder dystocia ckk edit