Abstract
Background
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.
Objective
To review multiple techniques for managing a shoulder dystocia in the ED.
Discussion
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.
Conclusions
Emergency physicians should be familiar with multiple techniques for managing a shoulder
dystocia to reduce the chances of fetal and maternal morbidity and mortality.
Keywords
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Article info
Publication history
Published online: December 20, 2013
Accepted:
August 18,
2013
Received:
June 6,
2013
Identification
Copyright
© 2014 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
