Korean J Obstet Gynecol.  2005 Aug;48(8):1841-1850.

Shoulder Dystocia

• Kim YH

Abstract

Shoulder dystocia refers to difficulty in delivery of fetal shoulders, and is one of the most dreaded and dramatic complications encountered in obstetrics. It is a true emergency, and when it occurs, it can result in high rate of maternal morbidity as well as neonatal morbidity and mortality. The occurrence of shoulder dystocia cannot be accurately predicted or prevented on the basis of antenatal risk factors or labor abnormalities. Therefore, the obstetrician must be prepared to recognize a shoulder dystocia immediately and proceed through an orderly sequence of steps to effect delivery in a timely manner. The goal of management is to prevent fetal asphyxia, while avoiding physical injury.

Keyword

Shoulder dystocia; Maternal morbidity; Neonatal morbidity and mortality

MeSH Terms

Asphyxia
Dystocia*
Emergencies
Female
Mortality
Obstetrics
Pregnancy
Risk Factors
Shoulder*