Shoulder dystocia orth

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Methods • Retrospective 1995-2009 • 210 cases of shoulder <strong>dystocia</strong> (0.34%) – 200 cases information available • All asian (most were chinese) • Age 31 years old (SD 4.9) • 97 (48.5%) nulliparous • 19 (9.5%) gestational / pre-existing diabetes • Mean gestation at delivery 39.6 (SD 1.1) • Mean birthweight 3.8kg (SD 0.39kg) • 66 (31%) >4kg • 56 (28%) non-reassuring CTG
Page 1 and 2: Shoulder dystocia and fetal outcome
Page 3 and 4: Maneuver to relieve Shoulder Dystoc
Page 9 and 10: Obstetric Emergency
Page 11 and 12: Which is the best Maneuver
Page 13 and 14: Maneuver & Neonatal Injury L- S M-
Page 15 and 16: McRoberts Maneuver Why is it less s
Page 17 and 18: McRoberts & Brachial Plexus Injury
Page 19: McRoberts vs Rotational: 1 st choic
Page 23 and 24: AS, pH, BE with HBDI HBDI (min) No.
Page 25 and 26: Conclusion II • Arterial pH drops
Page 27 and 28: Green J Reviewers’ Comment
Page 29 and 30: BJOG Reviewers’ Comment
Page 31 and 32: Half of the mortalities occurred in
Page 33 and 34: HBDI and pH Stallings et al AJOG 20
Page 36 and 37: Is Time Important
Page 38 and 39: Points to share • 1 fish, 2 dishe
Page 40 and 41: BJOG Reviewers’ Comment (2nd pape
Page 42 and 43: Conclusion II • Success rate of M
Page 44 and 45: Gherman et al AJOG 2006

Shoulder dystocia orth

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