management of cord prolapse & shoulder dystocia eliza rivera-mitu, rn, msn...
TRANSCRIPT
Shoulder DystociaThe turtle sign
Shoulder Dystocia Management
http://www.youtube.com/watch?v=jV6g427UMxY
Shoulder Dystocia Management
• Suprapubic Pressure
Shoulder Dystocia Management• Wood’s Screw Maneuver – high risk for
humeral fx
Shoulder DystociaAOCG Guidelines
1) Call for help - assistants, anesthesiology, pediatrician. Initiate gentle traction of the fetal head at this time. Drain the bladder if distended.
2) Generous episiotomy.
3) Suprapubic pressure with normal downward traction on fetal head.
4) McRoberts maneuver.
Then, if these maneuvers fail,
5) Wood's screw maneuver.
6) Attempt delivery of posterior arm.
Cord Prolapse Occult Cord
Cord ProlapseTrue Prolapsed Cord
Dealing with perinatal loss
http://www.youtube.com/watch?v=2W3QW2D-eRg