- When shoulder dystocia occurs, the upper fetal shoulder is impacted on the pubic symphysis (more rarely, the lower shoulder on the sacral promontory or non-flexible coccyx), preventing delivery of the baby. This can be a potentially catastrophic event, since the fetal thorax is still within the pelvis and cannot properly expand for breathing.
- While the rate of shoulder dystocia is higher with gestational diabetic women and macrosomic fetuses (>4500 grams at birth), approximately 80% of shoulder dystocia occurs with average-sized fetuses.
- If a brachial plexus palsy (brachioplexopathy) occurs, it usually affects the portions of the brachial plexus which control the shoulder and elbow. Spontaneous recovery is the rule rather than the exception.
- Most fetuses are successfully delivered with a combination of McRobert’s maneuver and suprapubic pressure, with or without episiotomy.
30 x 40 = $395 + shipping
36 x 48 = $425 + shipping
Digital = $395