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Shoulder Dystocia Documentation

Shoulder Dystocia Facts And Strategies. Most often unpredictable; 0.2 3.0% of deliveriesMost brachial plexus injuries will resolve within a year but you can't be sure in advance which one's will.Standard of care is to perform correctly when it is encountered.When there are risk factors, it is

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Shoulder Dystocia Documentation

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    1. Shoulder Dystocia Documentation Phillip N. Rauk, MD

    3. What Does ACOG Say? November, 2002. The following recommendations are based on limited or inconsistent scientific evidence: Shoulder Dystocia cannot be predicted or prevented because accurate methods for identifying which fetuses will experience this complication do not exist. Elective induction of labor or elective cesarean delivery for all women suspected of carrying a fetus with macrosomia is not appropriate.

    4. What Does ACOG Say? November, 2002. The following recommendations are based primarily on consensus and expert opinion: In patients with a history of shoulder dystocia, EFW, gestational age, maternal glucose intolerance, and the severity of the prior neonatal injury should be evaluated and the risks and benefits of cesarean delivery discussed with the patient. Planned cesarean delivery to prevent shoulder dystocia may be considered for suspected fetal macrosomia with estimated fetal weights exceeding 5,000 grams in women without diabetes and 4,500 grams in women with diabetes. There is no evidence that any one maneuver is superior to another in releasing an impacted shoulder or reducing the chance of injury. However, performance of the McRoberts maneuver is a reasonable initial approach.

    5. Residents Documentation with a Simulated Shoulder Dystocia Obstetrics and Gynecology, 2004. 104:667-670 Date Time of delivery Providers in the room at time of delivery States complication was a shoulder dystocia Notes which shoulder was anterior How long for delivery of shoulder Infants birth weight Apgar scores Cord gases sent? Mentions if infant moving all extremities after birth Notes if pediatrician called Estimated blood loss Includes all maneuvers used and order of maneuvers Notes if patient had epidural anesthesia

    6. HCA Shoulder Dystocia Form

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