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Shoulder Dystocia Management

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1. Ten years of simulation-based shoulder dystocia training- impact on obstetric outcome, clinical management, staff confidence, and the pedagogical practice - a time series study. Full Text available with Trip Pro

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

2018 BMC Pregnancy and Childbirth

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

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 Controlled trial quality: uncertain

3. Shoulder Shrug Maneuver to Facilitate Delivery During Shoulder Dystocia. Full Text available with Trip Pro

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

4. The comparison the effect of training by means of simulation and oral method on midwives’ skill in management of shoulder dystocia Full Text available with Trip Pro

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

2017 Journal of education and health promotion Controlled trial quality: uncertain

5. 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

6. 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

7. Shoulder Dystocia

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 (...) 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

2012 Royal College of Obstetricians and Gynaecologists

8. Introduction of Posterior Axilla Sling Traction in Simulated Shoulder Dystocia Full Text available with Trip Pro

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.

2018 AJP Reports

9. Systematic review and meta-analysis of the effectiveness of shoulder dystocia simulation in reducing the frequency of brachial plexus injuries on labor and delivery units.

Systematic review and meta-analysis of the effectiveness of shoulder dystocia simulation in reducing the frequency of brachial plexus injuries on labor and delivery units. Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability (...) will yield the same results as the fixed-effect model. For further details, see the and to pre-clinical meta-analysis. Example: Because of the exploratory nature of animal studies, a random effects model will be used to account for anticipated heterogeneity. ">Effect models Example: Heterogeneity will be assessed using the (residual) I2 and adjusted R2 statistics. ">Heterogeneity For further guidance please refer to the and to pre-clinical meta-analysis. Example: Whenever a control group serves more than

2020 PROSPERO

10. Postoperative care of symphysiotomy performed for severe shoulder dystocia with fetal demise Full Text available with Trip Pro

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

2017 Case Reports in Women's Health

11. Shoulder Dystocia: Prediction and Management Full Text available with Trip Pro

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.

2016 Women's Health

12. 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

13. Shoulder dystocia and normal head-body delivery interval (HBDI) the association between prolonged HBDI and adverse neonatal consequences

Shoulder dystocia and normal head-body delivery interval (HBDI) the association between prolonged HBDI and adverse neonatal consequences Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne (...) will be used to account for anticipated heterogeneity. ">Effect models Example: Heterogeneity will be assessed using the (residual) I2 and adjusted R2 statistics. ">Heterogeneity For further guidance please refer to the and to pre-clinical meta-analysis. Example: Whenever a control group serves more than one experimental group, we will correct the total number of control animals in the meta-analysis by dividing the number of animals in the control group by the number of treatment groups served. Where

2018 PROSPERO

14. Predictive factors for the success of McRoberts' manoeuvre and suprapubic pressure in relieving shoulder dystocia: a cross-sectional study. Full Text available with Trip Pro

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

2016 BMC Pregnancy and Childbirth

15. Emergency Department Management of Shoulder Dystocia. (Abstract)

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

16. Shoulder dystocia in primary midwifery care in the Netherlands. (Abstract)

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

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

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

2015 BJOG

18. Fetal biometry for guiding the medical management of women with gestational diabetes mellitus for improving maternal and perinatal health. (Abstract)

to 1.74; 3 trials, 524 women); shoulder dystocia (RR 0.33, 95% CI 0.01 to 7.98; 1 trial, 96 women); a composite measure of perinatal morbidity or mortality (RR 1.00, 95% CI 0.21 to 4.71; 1 study, 96 women); or perinatal mortality (RR 0.33, 95% CI 0.01 to 7.98; 1 trial, 96 women).This review is based on evidence from three trials involving 524 women. The trials did not report some important outcomes of interest to this review, and the majority of our secondary outcomes were also unreported (...) Fetal biometry for guiding the medical management of women with gestational diabetes mellitus for improving maternal and perinatal health. Gestational diabetes mellitus (GDM) is a common medical condition that complicates pregnancy and causes adverse maternal and fetal outcomes. At present, most treatment strategies focus on normalisation of maternal blood glucose values with use of diet, lifestyle modification, exercise, oral anti-hyperglycaemics and insulin. This has been shown to reduce

2019 Cochrane

19. 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

2015 FP Notebook

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

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