How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

361 results for

Shoulder Dystocia Management

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

1. Shoulder Shrug Maneuver to Facilitate Delivery During Shoulder Dystocia. (PubMed)

Shoulder Shrug Maneuver to Facilitate Delivery During Shoulder Dystocia. Shoulder dystocia is a potential complication of vaginal delivery that increases the chances of injury to the neonate and the mother. The incidence of dystocia can be up to 3%, and sudden presentation and the lack of reliable predictors make shoulder dystocia a challenge for obstetricians.The shoulder shrug technique involves shrugging the posterior shoulder and rotating the head-shoulder unit 180 degrees to resolve (...) the shoulder dystocia.We describe successful delivery in three cases of persistent shoulder dystocia using the shoulder shrug technique after the dystocia could not be resolved with McRoberts maneuver.When successful, the shoulder shrug maneuver may decrease the likelihood of morbidity for the neonate. The technique has resolved dystocia in three cases in which the posterior shoulder could be shrugged. Because it does not take much time to perform the shoulder shrug maneuver, it is worth considering

2019 Obstetrics and Gynecology

2. Shoulder Shrug Maneuver to Facilitate Delivery During Shoulder Dystocia. (PubMed)

this technique during management of unresolved shoulder dystocia. (...) Shoulder Shrug Maneuver to Facilitate Delivery During Shoulder Dystocia. Shoulder dystocia is a potential complication of vaginal delivery that increases the chances of injury to the neonate and the mother. The incidence of dystocia can be up to 3%, and sudden presentation and the lack of reliable predictors make shoulder dystocia a challenge for obstetricians.The shoulder shrug technique involves shrugging the posterior shoulder and rotating the head-shoulder unit 180 degrees to resolve

2019 Obstetrics and Gynecology

3. Ten years of simulation-based shoulder dystocia training- impact on obstetric outcome, clinical management, staff confidence, and the pedagogical practice - a time series study. (PubMed)

Ten years of simulation-based shoulder dystocia training- impact on obstetric outcome, clinical management, staff confidence, and the pedagogical practice - a time series study. To assess the impact of 10 years of simulation-based shoulder dystocia training on clinical outcomes, staff confidence, management, and to scrutinize the characteristics of the pedagogical practice of the simulation training.In 2008, a simulation-based team-training program (PROBE) was introduced at a medium sized (...) notes of video-recordings of maternity care teams participating in simulation exercises and was further analyzed using collaborative video analysis.The number of diagnosed shoulder dystocia increased from 0.9/1000 prePROBE to 1.8 and 2.5/1000 postPROBE. There were no differences in maternal characteristics between the groups. The rate of brachial plexus injuries in deliveries complicated with shoulder dystocia was 73% prePROBE compared to 17% in the late postPROBE group (p > 0.05). The dominant

Full Text available with Trip Pro

2018 BMC Pregnancy and Childbirth

4. Effect of the use of a video tutorial in addition to simulation in learning the maneuvers for shoulder dystocia. (PubMed)

Effect of the use of a video tutorial in addition to simulation in learning the maneuvers for shoulder dystocia. The development of video tutorials is flourishing and may make it possible to maintain knowledge learned during instruction with simulation. The aim of this study was to assess the effect of adding a video tutorial to a lecture and simulation for learning the maneuvers and protocol for the management of shoulder dystocia. Student midwives and medical students attended a lecture class (...) including instruction about maneuvers and a presentation of an algorithm for the management of shoulder dystocia. They were randomized into two groups. The video group was reminded every two weeks to watch a short tutorial. The control group was reminded to consult the slide show. At the end of two months, they were evaluated by graders. The practice, theory, and global scores of the students in the video group were significantly higher than those of the students in the control group (14.8 vs. 10.4; 5.6

2018 Journal of gynecology obstetrics and human reproduction

5. The comparison the effect of training by means of simulation and oral method on midwives’ skill in management of shoulder dystocia (PubMed)

The comparison the effect of training by means of simulation and oral method on midwives’ skill in management of shoulder dystocia Shoulder dystocia is one of the obstetric emergencies that are accompanied to serious risks for mother and fetus. It necessitates making the method of training of shoulder dystocia management more efficient, i.e., better management and giving services with higher quality. Thus, this study was carried out to compare the impact of training by simulation and oral (...) technique on the skill of the employed midwives in obstetric clinics at Mashhad city (Iran) in shoulder dystocia management during 2012.The current research is a double-group clinical trial that was conducted on 51 members of the employed midwives in the obstetric clinic at Mashhad city in 2012. The questionnaire of personal specification and awareness about shoulder dystocia and practical examination (objective-structured clinical examination) were employed as tools for data collection. The learners

Full Text available with Trip Pro

2017 Journal of education and health promotion

6. Randomised controlled trial: Induction of labour at 37?38?weeks in women with large fetuses decreases the likelihood of shoulder dystocia; however, overall benefit of early-term delivery has not been demonstrated

Randomised controlled trial: Induction of labour at 37?38?weeks in women with large fetuses decreases the likelihood of shoulder dystocia; however, overall benefit of early-term delivery has not been demonstrated Induction of labour at 37–38 weeks in women with large fetuses decreases the likelihood of shoulder dystocia; however, overall benefit of early-term delivery has not been demonstrated | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content (...) are here Induction of labour at 37–38 weeks in women with large fetuses decreases the likelihood of shoulder dystocia; however, overall benefit of early-term delivery has not been demonstrated Article Text Therapeutics/Prevention Randomised controlled trial Induction of labour at 37–38 weeks in women with large fetuses decreases the likelihood of shoulder dystocia; however, overall benefit of early-term delivery has not been demonstrated Lawrence M Leeman , Nicole Yonke Statistics from Altmetric.com

2015 Evidence-Based Medicine (Requires free registration)

7. Shoulder Dystocia: Prediction and Management (PubMed)

Shoulder Dystocia: Prediction and Management Shoulder dystocia is a complication of vaginal delivery and the primary factor associated with brachial plexus injury. In this review, we discuss the risk factors for shoulder dystocia and propose a framework for the prediction and prevention of the complication. A recommended approach to management when shoulder dystocia occurs is outlined, with review of the maneuvers used to relieve the obstruction with minimal risk of fetal and maternal injury.

Full Text available with Trip Pro

2016 Women's Health

8. Shoulder Dystocia Management

Shoulder Dystocia Management Shoulder Dystocia Management Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Shoulder Dystocia Management (...) Shoulder Dystocia Management Aka: Shoulder Dystocia Management , Wood-Screw maneuver , Rubin Maneuver , Zavanelli Maneuver From Related Chapters II. Definitions Suprapubic Pressure Apply pressure over (never over fundus) Oblique downward and anterior pressure Initial attempt: Apply pressure for 30 to 60 sec Later: Rocking motion similar to CPR Effect: Decreases fetal breadth McRoberts Position Efficacy Resolves >40% of dystocias Resolves 50% when used with suprapubic pressure Technique Flex thighs

2018 FP Notebook

9. Simulation of Shoulder Dystocia for Skill Acquisition and Competency Assessment: A Systematic Review and Gap Analysis.

Simulation of Shoulder Dystocia for Skill Acquisition and Competency Assessment: A Systematic Review and Gap Analysis. Mastery of shoulder dystocia management skills acquired via simulation training can reduce neonatal brachial plexus injury by 66% to 90%. However, the correlation between simulation drills and reduction in clinical injuries has been inconsistently replicated, and establishing a causal relationship between simulation training and reduction of adverse clinical events from (...) shoulder dystocia is infeasible due to ethical limitations. Nevertheless, professional liability insurance carriers increasingly are mandating simulation-based rehearsal and competency assessment of their covered obstetric providers' shoulder dystocia management skills-a high-stakes demand that will require rapid scaling up of access to quality shoulder dystocia simulation. However, questions remain about differing simulation training schemes and instructional content used among clinically effective

2018 Simulation in healthcare : journal of the Society for Simulation in Healthcare

10. Introduction of Posterior Axilla Sling Traction in Simulated Shoulder Dystocia (PubMed)

Introduction of Posterior Axilla Sling Traction in Simulated Shoulder Dystocia Objective  Aim of this study was to introduce posterior axilla sling traction (PAST) in delivering providers and nursing staff as an adjunct to the management of shoulder dystocia and evaluate comfort in performing the maneuver. Methods  A presimulation questionnaire had given to all participants. A brief training on how to perform PAST was also given. A simulated shoulder dystocia was run where usual maneuvers (...) significant increase in the number of providers and nurses who would feel comfortable using PAST for shoulder dystocia management and for rotational maneuvers. Ninety-three percent of participants would consider using PAST in future shoulder dystocia when usual maneuvers failed. Conclusion  PAST is an adjunct to management of shoulder dystocia that has not previously been taught in our facility. The majority of participants in our simulation felt comfortable with using PAST.

Full Text available with Trip Pro

2018 AJP Reports

11. Shoulder Dystocia

3 Evidence level 2+ Evidence level 2+ and Evidence level 3 Evidence level 2+ Evidence level 3 and 4 Evidence level 4 Evidence level 4 Evidence level 3© Royal College of Obstetricians and Gynaecologists 3of 18 RCOG Green-top Guideline No. 42 2. Purpose and scope The purpose of this guideline is to review the current evidence regarding the possible prediction, prevention and management of shoulder dystocia; it does not cover primary prevention of fetal macrosomia associated with gestational (...) diabetes mellitus. The guideline provides guidance for skills training for the management of shoulder dystocia, but the practical manoeuvres are not described in detail. These can be found in standard textbooks and course manuals such as PROMPT (PRactical Obstetric Multi-Professional Training), 28 ALSO (Advanced Life Support in Obstetrics), 108 MOET (Managing Obstetric Emergencies and Trauma) 61 and others. 3. Identification and assessment of evidence This RCOG guideline was revised in accordance

2012 Royal College of Obstetricians and Gynaecologists

12. Postoperative care of symphysiotomy performed for severe shoulder dystocia with fetal demise (PubMed)

deliveries had a term delivery complicated by a severe shoulder dystocia. She underwent emergent symphysiotomy at an outside institution, with delivery of a dead macrosomic infant. She was transferred to our tertiary care center for further care.Symphysiotomy is rarely performed in the United States. We submit our postoperative management to add to the literature of this rarely performed obstetric intervention.Symphysiotomy for severe shoulder dystocia is rarely utilized in the United States. We describe (...) Postoperative care of symphysiotomy performed for severe shoulder dystocia with fetal demise Shoulder dystocia is an obstetric emergency which occurs in 0.2-3% of all births ACOG Committee on Practice Bulletins-Obstetrics and The American College of Obstetrician and Gynecologists (2002) . Symphysiotomy is a treatment option reserved primarily for developing countries where mortality rates of Cesarean delivery are 1-2% Monjok et al. (2013) .A G3P2002 with a history of two prior vaginal

Full Text available with Trip Pro

2017 Case Reports in Women's Health

13. Predictive factors for the success of McRoberts' manoeuvre and suprapubic pressure in relieving shoulder dystocia: a cross-sectional study. (PubMed)

Predictive factors for the success of McRoberts' manoeuvre and suprapubic pressure in relieving shoulder dystocia: a cross-sectional study. McRoberts' and suprapubic pressure are often recommended as the initial choices of manoeuvres to manage shoulder dystocia, as they are believed to be less invasive compared to other manoeuvres. However, their success rates range from 23 to 40 %. This study aims to investigate the predictive factors for the success of McRoberts' manoeuvre with or without (...) suprapubic pressure (M+/-S).All cases of shoulder dystocia in a tertiary hospital in South East Asia were recruited from 1995 to 2009. Subjects were analysed according to either 'success' or 'failure' of M+/-S. Maternal and fetal antenatal and intrapartum factors were compared by univariate and multivariate analysis.Among 198 cases of shoulder dystocia, M+/-S as the primary manoeuvre was successful in 25.8 %. The other 74.2 % needed either rotational or posterior arm manoeuvres or combination

Full Text available with Trip Pro

2016 BMC Pregnancy and Childbirth

14. Shoulder Dystocia

Shoulder Dystocia Shoulder Dystocia Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Shoulder Dystocia Shoulder Dystocia Aka: Shoulder (...) Deliver head and s with the same push Suction airway after s are delivered Early induction or cesarean in macrosomia not supported See Elective cesarean does not reduce dystocia cases Early induction does not reduce dystocia cases IX. Management See X. References Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Shoulder Dystocia." Click on the image (or right click) to open the source website in a new browser window. Related Studies

2018 FP Notebook

15. Shoulder dystocia in primary midwifery care in the Netherlands. (PubMed)

Shoulder dystocia in primary midwifery care in the Netherlands. In the Netherlands, low-risk pregnancies are managed by midwives in primary care. Despite strict definitions of low risk, obstetric complications can occur. Midwives seldom encounter uncommon labour complications, but are sufficiently trained to manage these. We assessed neonatal and maternal outcome after management of shoulder dystocia in primary midwifery care.In this 2-year prospective cohort study from April 2008 to April 2010 (...) occurred.McRoberts and all-fours maneuvers are widely used by primary-care midwives in the management of shoulder dystocia. Low rates of adverse neonatal and maternal outcomes were observed in cases of shoulder dystocia up to 6 weeks postpartum.© 2015 Nordic Federation of Societies of Obstetrics and Gynecology.

2015 Acta Obstetricia et Gynecologica Scandinavica

16. The Difficult Delivery: Shoulder Dystocia

, "The Difficult Delivery: Shoulder Dystocia", First10EM blog, March 7, 2015. Available at: . Share this: Like this: Like Loading... AUTHOR Justin Morgenstern Emergency doctor working in the community. FOAM enthusiast. Evidence based medicine junkie. “One special advantage of the skeptical attitude of mind is that a man is never vexed to find that after all he has been in the wrong.” - William Osler You may also like Published A simplified approach to the management of laryngospasm in the emergency department (...) The Difficult Delivery: Shoulder Dystocia The Difficult Delivery: Shoulder Dystocia - First10EM Search The Difficult Delivery: Shoulder Dystocia by | Published - Updated Case You are proceeding with the precipitous delivery described in the previous post. You have just delivered the head, but it seems to pull back. No further progress is being made. As you stare down at the head, you swear it reminds you of some kind of animal – oh right, a turtle! This is shoulder dystocia… My approach Call

2015 First10EM

17. Prevention of brachial plexus injury-12 years of shoulder dystocia training: an interrupted time-series study. (PubMed)

Prevention of brachial plexus injury-12 years of shoulder dystocia training: an interrupted time-series study. To investigate management and outcomes of incidences of shoulder dystocia in the 12 years following the introduction of an obstetric emergencies training programme.Interrupted time-series study comparing management and neonatal outcome of births complicated by shoulder dystocia over three 4-year periods: (i) Pre-training (1996-99), (ii) Early training (2001-04), and (iii) Late training (...) (2009-12).Southmead Hospital, Bristol, UK, with approximately 6000 births per annum.Infants and their mothers who experienced shoulder dystocia.A bi-monthly multi-professional 1-day intrapartum emergencies training course, that included a 30-minute practical session on shoulder dystocia management, commenced in 2000.Neonatal morbidity (brachial plexus injury, humeral fracture, clavicular fracture, 5-minute Apgar score <7) and documented management of shoulder dystocia (resolution manoeuvres

Full Text available with Trip Pro

2015 BJOG

18. Emergency Department Management of Shoulder Dystocia. (PubMed)

Emergency Department Management of Shoulder Dystocia. Precipitous obstetric deliveries can occur outside of the labor and delivery suite, often in the emergency department (ED). Shoulder dystocia is an obstetric emergency with significant risk of adverse outcome.To review multiple techniques for managing a shoulder dystocia in the ED.We review various techniques and approaches for achieving delivery in the setting of shoulder dystocia. These include common maneuvers, controversial interventions (...) , and interventions of last resort.Emergency physicians should be familiar with multiple techniques for managing a shoulder dystocia to reduce the chances of fetal and maternal morbidity and mortality.Copyright © 2014 Elsevier Inc. All rights reserved.

2013 Journal of Emergency Medicine

19. Objective structured assessment of technical skills evaluation of theoretical compared with hands-on training of shoulder dystocia management: a randomized controlled trial. (PubMed)

Objective structured assessment of technical skills evaluation of theoretical compared with hands-on training of shoulder dystocia management: a randomized controlled trial. To compare the skills of performing a shoulder dystocia management algorithm after hands-on training compared with demonstration.We randomized medical students to a 30-minute hands-on (group 1) and a 30-minute demonstration (group 2) training session teaching a standardized shoulder dystocia management scheme on a pelvic (...) ) independently influenced Objective Structured Assessment of Technical Skills scores.Hands-on training helps to achieve a significant improvement of shoulder dystocia management on a pelvic training model.www.ClinicalTrials.gov, NCT01618565.I.

Full Text available with Trip Pro

2012 Obstetrics and Gynecology

20. Objective Structured Assessment of Technical Skills (OSATS) Evaluation of Shoulder Dystocia Management

Objective Structured Assessment of Technical Skills (OSATS) Evaluation of Shoulder Dystocia Management Objective Structured Assessment of Technical Skills (OSATS) Evaluation of Shoulder Dystocia Management - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please (...) remove one or more studies before adding more. Objective Structured Assessment of Technical Skills (OSATS) Evaluation of Shoulder Dystocia Management The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT01618565 Recruitment Status : Completed First Posted : June 13, 2012 Last Update Posted : March 11, 2013

2012 Clinical Trials

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>