Shoulder dystocia

The learner should be able to :

• Diagnose shoulder dystocia immediately after fetal head release
• Mobilize available resources (human and material)
• Maintain communication with the patient.
• Perform life-saving maneuvers according to the management algorithm and the type of dystocia. (Mac Roberts).
• Master team communication techniques
• Manage stress during shoulder dystocia situation

32-year-old women, 3rd gravidity 2nd parity with 39 weeks of amenorrhea (Blood type A positive). No medical history. (Pregnancy irregularly followed).

She consulted the 1st line obstetric emergency room at 8 am for a 4-hour discharge of amniotic fluid and pelvic pain.