Shoulder Dystocia: The Frightening Emergencies

Shoulder dystocia is a condition where there is a difficulty in the delivery of the shoulder of the fetus occurs. This is an obstetric emergency. It happens when the fetalbiacromial diameter is larger than the biparietal diameter or the maternal pelvic brim is flat rather than gynecoid, If this frightening situation is not manage properly, in time and by expert hand it can cause severe fetal and maternal outcome. All doctors should require proper training and knowledge for the management of this emergency situation. Well-trained health professionals can improve the outcome of the delivery when shoulder dystocia occurs. There is no any strong evidence to prevent shoulder dystocia because it is so unpredictable. But good control of blood glucose level of diabetic mother will reduce the incidence of macrosomic baby. Elective caesarean section is recommended for suspected fetal macrosomia to prevent brachial plexus injury.