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obstetrics_shoulder dystocia (complications (brachial plexus: upper trunk:…
obstetrics_shoulder dystocia
history
turtle sign
x restitution
risk factors
intrapartum
instrumental delivery
secondary arrest of labour
antepartum
multiple pregnancy
post-term
macrosomia
short statue
diabetes
obesity
complications
brachial plexus: upper trunk: C5 C6: Erb's palsy
brachial plexus: lower trunk: C8 T1: Klumpke's palsy
hypoxic-ischemic encephalopathy: cerebral palsy
investigations
physical examination
P suprapubic pressure (downward, lateral pressure)
E enter vagina, internal rotation
L McRobert's maneuver (thighs touch abdomen)
R roll over
R remove posterior arm
H help
E episiotomy
x pillows under neck