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Your baby's shoulder became stuck during birth (shoulder dystocia)

In shoulder dystocia, the baby's head has been born but a shoulder remains stuck behind the pubic bone. This is an emergency during birth; afterwards, mother and baby are checked for injuries and complications.

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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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