Management of Cord Prolapse & Shoulder Dystocia

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Presentation transcript:

Management of Cord Prolapse & Shoulder Dystocia Eliza Rivera-Mitu, RN, MSN ERMitu@trinityvocational.com

Shoulder Dystocia The turtle sign

Shoulder Dystocia Management http://www.youtube.com/watch?v=jV6g427UMxY

Shoulder Dystocia Management Suprapubic Pressure

Shoulder Dystocia Management Wood’s Screw Maneuver – high risk for humeral fx

Shoulder Dystocia AOCG Guidelines 1) Call for help - assistants, anesthesiology, pediatrician. Initiate gentle traction of the fetal head at this time. Drain the bladder if distended. 2) Generous episiotomy. 3) Suprapubic pressure with normal downward traction on fetal head. 4) McRoberts maneuver. Then, if these maneuvers fail, 5) Wood's screw maneuver. 6) Attempt delivery of posterior arm.

Cord Prolapse Occult Cord

Cord Prolapse True Prolapsed Cord

Dealing with perinatal loss http://www.youtube.com/watch?v=2W3QW2D-eRg