Shoulder dystocia is defined as a vaginal birth where the baby's shoulders get stuck requiring additional maneuvers to deliver the baby after the head is out. It occurs in 0.58-0.70% of births and can lead to complications like tears, heavy bleeding, and brachial plexus injuries in the baby. While some risk factors are known, it is difficult to accurately predict. Upon diagnosis, shoulder dystocia should be managed systematically using obstetric maneuvers to deliver the baby within 60 seconds to avoid complications. Proper documentation is important.

1. Shoulder Dystocia
By
Mohamed Hemdan Aboelfotoh Ibrahim Hemdan
Registrar of Gynaecologist and Obstetrician
El-Galaa Maternity Teaching Hospital

2. Making Best in a Bad situation

3. Definition
• Shoulder dystocia is defined as a vaginal
cephalic delivery that requires additional
obstetric manoeuvres to deliver the fetus after
the head has delivered and gentle traction has
failed.
• An objective diagnosis of a prolongation of
head-to-body delivery time of more than 60
seconds

4. shoulder dystocia
• Incidence of shoulder dystocia between 0.58%
and 0.70%
• The incidence of PPH with shoulder dystocia
(11%)
• Third and fourth-degree perineal tears (3.8%).
• Brachial plexus injury (BPI) is one of the most
important fetal complications of shoulder
dystocia, complicating 2.3% to 16% of such
deliveries.

5. Can shoulder dystocia be predicted?
• Clinicians should be aware of existing risk
factors in labouring women and must always
be alert to the possibility of shoulder
dystocia.
• Risk assessments for the prediction of
shoulder dystocia are insufficiently predictive
to allow prevention of the large majority of
cases.

6. Factors associated with Shoulder
Dystocia

7. How To Diagnosis

8. Management
Shoulder dystocia should be managed
systematically

12. Do NOT Forget
Documentations

13. Thank You