Shoulder Dystocia prompt card - bsuh.nhs.uk
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SHOULDER DYSTOCIA PROMPT CARD Identify shoulder dystocia CALL FOR HELP senior MW, Registrar, paediatrician prepare for neonatal resuscitation communicate and reassure parents communicate and reassure parents MCROBERTS lie flat elevate legs attempt to deliver baby SUPRA PUBIC PRESSURE 30 seconds continuous OR 30 seconds rocking pressure attempt to deliver baby Evaluate for episiotomy 1. pressure on posterior aspect of anterior shoulder 2. pressure on posterior aspect of anterior shoulder & anterior aspect of posterior shoulder 3. pressure on posterior aspect of posterior shoulder adduct shoulders & push baby into oblique (attempt to deliver baby) rotate 180 º (attempt to deliver baby) rotate 180º in other direction (attempt to deliver baby) remove posterior arm attempt to deliver baby roll onto all 4’s change position of mother attempt to delivery baby IF UNSUCCESSFUL CONSIDER Repeat all manoeuvres Cleidotomy or Zavenelli manoeuvre or symphysiotomy CONSULTANT OBSTETRICIAN TO BE CONTACTED AND INFORMED NEVER APPLY EXCESSIVE TRACTION OR FLEXION TO FETAL HEAD The order in which these manoeuvres are done depends on the individual case & clinical judgement, however McRoberts and Suprapubic pressure are recommended as first line managemenT OR OR INTERNAL MANOEUVRES
Transcript of Shoulder Dystocia prompt card - bsuh.nhs.uk
SHOULDER DYSTOCIA PROMPT CARD
Identify shoulder dystocia
CA
LL F
OR
H
ELP senior MW, Registrar,
paediatricianprepare for neonatal
resuscitationcommunicate and reassure parents
communicate and reassure parents
MC
RO
BER
TS
lie flat elevate legsattempt to deliver baby
SUPR
A P
UB
IC
PRES
SUR
E
30 seconds continuous OR
30 seconds rocking pressure
attempt to deliver baby
Evaluate for episiotomy
1. pressure on posterior aspect of anterior shoulder
2. pressure on posterior aspect of anterior shoulder & anterior aspect
of posterior shoulder
3. pressure on posterior aspect of posterior shoulder
adduct shoulders & push baby into oblique (attempt to deliver baby)
rotate 180 º (attempt to deliver baby)
rotate 180º in other direction (attempt to deliver baby)
remove posterior arm
attempt to deliver baby
roll onto all 4’s
change position of mother attempt to delivery baby
IF
UN
SUC
CES
SFU
L C
ON
SID
ER Repeat all manoeuvres
Cleidotomy or Zavenelli manoeuvre or
symphysiotomy
CONSULTANT OBSTETRICIAN TO BE CONTACTED AND INFORMED
NEVER APPLY EXCESSIVE TRACTION OR FLEXION TO FETAL HEADThe order in which these manoeuvres are done depends on the individual case & clinical judgement, however
McRoberts and Suprapubic pressure are recommended as first line managemenT
OR
OR
INT
ERN
AL
MA
NO
EUV
RES
