In shoulder dystocia, the baby's head is born but a shoulder remains stuck behind the mother's pubic bone. This is an unexpected obstetric emergency in which the team immediately performs various manoeuvres to deliver the baby safely.
- Shoulder dystocia usually cannot be reliably predicted and may occur without known risk factors.
- It is not the mother's fault and is not caused by pushing incorrectly.
- As soon as it is recognised, the midwife or doctor calls for extra help, and the team often asks the mother to stop pushing briefly.
- Most babies are born quickly using special positions and manoeuvres and recover well.
- The mother has a higher risk of a larger tear and bleeding after birth; the baby may temporarily lack oxygen, have a broken collarbone or injury to the nerves supplying the arm.
- After birth, mother and baby have targeted examinations and are monitored for longer if needed.
- A stiff or less active arm, unusual colour, poor feeding or breathlessness in the baby must be reported immediately.
- A debrief helps you understand what happened and what it means for a future pregnancy.
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General information, not personal medical advice
This article has been carefully prepared but may contain errors or become outdated as medical knowledge changes. It does not replace diagnosis, examination or treatment by your own GP. Always discuss personal questions and starting, stopping or changing medicines or treatments with your own GP.
For a life-threatening situation, call Ambulance 912. For urgent care outside office hours, call HAP 9252.
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