Key result
An updated review of shoulder dystocia management highlights the value of simulation training, algorithmic approaches, prioritizing posterior arm delivery, and utilizing newer maneuvers when traditional techniques fail.
Why the study?
What are the current best practices and new techniques for the acute management of shoulder dystocia?
What are the current best practices and new techniques for the acute management of shoulder dystocia?
This review highlights the importance of simulation training, algorithmic approaches, and alternative maneuvers for managing shoulder dystocia when traditional techniques fail.
Answers are grounded in this paper and cite their sources.
May support simulation training and algorithms in shoulder dystocia; leaves open need for prospective validation before practice change.
Shoulder dystocia continues to challenge obstetrical providers and therefore the management must evolve. The available literature demonstrates clear value in both simulation training and having a clear algorithmic approach. Similarly, the available literature suggests that delivery of the posterior arm should be prioritized. Several new techniques such as the Menticoglou maneuver, Gaskin's maneuver, and the posterior axilla sling traction technique offer obstetrical choices after more traditional techniques have failed.
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Thompson et al. (2016) conducted a review in Shoulder dystocia. Acute management techniques (simulation training, algorithmic approach, posterior arm delivery, and newer maneuvers) was evaluated. An updated review of shoulder dystocia management highlights the value of simulation training, algorithmic approaches, prioritizing posterior arm delivery, and utilizing newer maneuvers when traditional techniques fail.
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