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Indian Journal of Maternal-Fetal & Neonatal Medicine 12(1):p 23-26, Jan-June 2025. | DOI: 10.21088/ijmfnm.2455.8621.12125.4
Case Report
Dealing with Shoulder Dystocia During Child Birth
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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Indian Journal of Maternal-Fetal & Neonatal Medicine 12(1):p 23-26, Jan-June 2025. | DOI: 10.21088/ijmfnm.2455.8621.12125.4
How Cite This Article:
1. Khatoon K, Kaparwan A. Dealing with shoulder dystocia during child birth. Indian J Matern-Fetal Neonatal Med. 2025;12(1):23-26.Timeline
Received : March 05, 2025
Accepted : April 04, 2025
Published : June 30, 2025
Abstract
Shoulder dystocia is an obstetric emergency in which gentle downward traction of the fetal head does not lead to delivery of shoulder and additional obstetric maneuver are required to deliver the fetal shoulders. This can cause neonatal brachial plexus injuries, hypoxia and maternal trauma, including damage to the bladder, anal spinchter, rectum and postpartum haemorrhage. Although fetal macrosomia, prior shoulder dystocia,3 excessive weight gain during pregnancy, diabetes mellitus, advanced maternal age, prolonged 2nd stage of labor and oxytocine labor induction increase the risk of shoulder dystocia, most cases occur without warning.5 when shoulder dystocia occurs it should be vocally announcing that dystocia is happening, summoning extra assistance, keeping track of the time from delivery of the head to full delivery of the neonate, and communicating with the patient and health care team are helpful. calm and thoughtful use of maneuvers such as suprapubic pressure, knee to chest (McRoberts maneuver), internal rotation and delivery of posterior shoulder will almost always result in successful delivery. Labor and Delivery teams should always be prepared to recognize and treat this emergency.3
References
- 1. Donald D. Davis; Afghani Roshan; Matthew Varacallo. Shoulder Dystocia: National Library of Medicine; December 20, 2023.
- 2. Alves AL, Nozaki AM, PolidoCB, Knobel R. management of shoulder dystocia: febrasgo positon statement; number 7- july2022
- 3. D. Ashley Hill, Jorge Lense, Fay Roepcke. Shoulder Dystocia: Managing an Obstetric Emergency: july15, 2020: www.aafp.org/afp
- 4. Shoulder Dystocia: Green-top Guideline no. 42 2nd Edition : Royal College of Obstetrician & Gynaecologists, March 2012
- 5. Shylla Mir, Abida Ahmad: Review Article on Shoulder Dystocia; JK science vol. 12 no. 4, octdecember 2010: www.jkscience.org.
- 6. Karin heinonen, terhisaisto, mikagissler, nannasarvilinna. Maternal and neonatal complications of shoulder dystocia with focus on obstetric maneuvers: A case-control study of 1103 deliveries, 2 January 2024: wileyonlinelibrary.com/journal/aogs
Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
No conflicts of interest.
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Cite this article
1. Khatoon K, Kaparwan A. Dealing with shoulder dystocia during child birth. Indian J Matern-Fetal Neonatal Med. 2025;12(1):23-26.
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| March 05, 2025 | April 04, 2025 | June 30, 2025 |
DOI: 10.21088/ijmfnm.2455.8621.12125.4
Keywords
Shoulder dystociaBirth asphyxiaProlonged laborAugmentation of laborArticle Level Metrics
Last UpdatedWednesday 17 June 2026, 17:46:52 (IST)
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Timeline
| Received | March 05, 2025 |
| Accepted | April 04, 2025 |
| Published | June 30, 2025 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
