
Safety Checklist for Shoulder Dystocia Form


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People also ask
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What precautions should be taken for shoulder dystocia?
How can I prevent shoulder dystocia? Manage your diabetes. Maintain a healthy weight throughout your pregnancy. Ask your obstetrician about inducing labor. If you're past your due date, call your healthcare provider. Discuss the possibility of a C-section with your obstetrician.
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Which of the following is the most important risk factor for shoulder dystocia?
Risk factors Most prominent are a history of prior shoulder dystocia or brachial plexus injury, current fetal macrosomia, maternal obesity, diabetes mellitus, excessive weight gain and dysfunctional labor patterns, especially a long deceleration phase followed by a long second stage.
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What are the safety considerations for shoulder dystocia?
How can I prevent shoulder dystocia? Manage your diabetes. Maintain a healthy weight throughout your pregnancy. Ask your obstetrician about inducing labor. If you're past your due date, call your healthcare provider. Discuss the possibility of a C-section with your obstetrician.
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What should be documented in shoulder dystocia?
The tool should include the following information: Patient history and risk factors that are pertinent to shoulder dystocia. Maneuvers and/or instrumentation used to accomplish delivery. Times of important points in the delivery (onset of second stage, delivery of the head, delivery of the shoulders, etc.).
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What should a nurse do for shoulder dystocia?
For nurses specifically, managing shoulder dystocia includes: Alerting all appropriate members of the obstetric care team for situational awareness. Applying primary maneuvers. Assisting the provider as necessary with secondary maneuvers. Regularly communicating the time to the team.
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What is the protocol for shoulder dystocia?
Immediately after recognition of shoulder dystocia, additional help should be called. The problem should be stated clearly as 'this is shoulder dystocia' to the arriving team. Fundal pressure should not be used. McRoberts' manoeuvre is a simple, rapid and effective intervention and should be performed first.
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What interventions may be taken during a shoulder dystocia?
Calm and thoughtful use of release maneuvers such as knee to chest (McRoberts maneuver), suprapubic pressure, posterior arm or shoulder delivery, and internal rotational maneuvers will almost always result in successful delivery.
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What is the standard of care for shoulder dystocia?
The 4 maneuvers generally used by obste- tricians to resolve shoulder dystocia are considered the standard of care: • McRoberts maneuver • Suprapubic pressure • Woods screw maneuver • Delivery of the posterior arm Although the order in which the maneuvers are described below is the usual order in which they are ...
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