OSCE Shoulder Dystocia Demonstration

[@Amina-1523]

She also forgot to mention before the Obstetric doctors perform the Zavaline Manoeuvre, they will need to use a Tocolytic agent such as Terbutaline ( 0.25mg given subcutaneously via injections) or Gylyceryltrinitrate (given sublingually ) to relax the uterus as the uterus will have already have contracted down once the fetal head has been delivered and the meds must be given before any attempt to replace the fetal head back into the vagina to prevent uterine rupture.

[@luthomafu6352]

Thank you so much. This was a very informative and detailed OSCE demonstration video.

[@cfar76]

My son was born sunny side up with shoulder Dystocia. I had an amazing obstetrician and he was fine, no problems. Me on the other hand, i had psd and for a week after delivery had no feeling in my leg. It slowly came back. It was a long labor. At the time i didnt realize how dangerous it could be as i wasnt told until i was actually pushing and even then i wasnt fully aware of the dangers. Just thankful for Dr. Moersh and her team. They acted and got him out quickly. Very thankful and very blessed!

[@nataliep6046]

I’m sorry to hear. I’m glad baby is fine. I hope you are recovered both physically and emotionally/mentally

[@cfar76]

@@nataliep6046 Thank you! were both fine. hes 13 now, was just scary at the time.

[@janeduffy5726]

That was such a helpful Video for my OSCE revision on Shoulder Dystocia Thankyou

[@WebMedics]

Thank you for such a detailed demonstration; really valuable knowledge

[@liviea6520]

Such a good helpful video really helped with my revision. thank you

[@dianmalianaps83]

i love this video, it helps me a lot for my exam

[@sweetangelz1126]

She did extremely well wow

[@moatazshdifat8047]

100/100 very good examination

[@HOUSEOFKUDOS]

Brilliant demonstration.

[@vivianmacnarh2249]

Very helpful and straight forward

[@ginafromcologne9281]

Wow, was this an actual exam? Excellent job!!! She has surely passed with flying colours. :)

[@beverleyjafter7795]

very helpful video, all information and demonstration was very clearly done. thank you

[@Some86]

Wow, this is soo thoroughly explained

[@merowaell]

Awesome ❤❤❤❤❤

[@simgirl972]

That is great ! It is so helpful

[@amandaspayire4907]

wow very helpful...what a great video thank you

[@sarahphillips8005]

Did she mention doing cord blood gasses after baby is born?

[@تهراقاالبركل]

Very nice thank you . In sudan we start with episitomy because of FGM .

[@annam.1985]

How sad. 😥

[@Amina-1523]

She also didn't mention to also bleep the Neonatologist doctor as to the risk of Brachial plexus injury and for the baby to be accessed for any injuries as soon as possible after the delivery.

[@drsympathy6488]

She mentioned Pediatrician in the beginning.. call for help.. SOAPS

[@drzenkobilas7770]

Thank you for a superb video. Episiotomy, mentioned at 7:34 minutes, is totally avoidable with painless, gradual, 'Birth Canal Widening' to 10cm diameter, achieved prior to the start of labour, over 7 days, commonly achieved by mum who employ a Doula or birth companion, so ask mum. Wikipedia UK 'Perineal Massage' page mention paper that argues starting BCW at 26 weeks, so 28-week babies benefit also. USA use the term Perineal Stretching, which refers to stretching of the fibrous coat of the pelvic floor muscles, which makes them super elastic, capable of stretching to 3 times their original length, with no fibre avulsion or ripping. The skin will not rip or tear, if stretched painlessly and gradually over 7 days, prior to onset of labour, to 10cm and most men know of earlobe stretching, producing a hole into which a decorative ring can be inserted. Unlike the earlobe, which is made only of skin, and once stretched it remains stretched; the skin between the legs has skin and pelvic floor muscle supporting this skin, so this pelvic floor muscle will contract back down, closing off the 10cm opening, that allowed baby out of mum's tummy, once baby has exited mum's tummy. Episiotomy damages the skin and pelvic floor muscle, which can allow bacteria to enter causing necrotising fasciitis. Some centres do intra-partum 'Birth Canal Widening', but once baby's head pressed against the pelvic floor muscle causing the perineal skin to bulge, this Perineal massage needs to stop, as it can encourage tearing. Particularly in the case of 'occipito-posterior head' presentation, where baby faces mums' tummy and not mum's spine. If baby is large, pudendal nerve block in anticipation could be considered as a form of pain relief for mum. the largest baby delivered by Birth Canal in UK, was in Gloucester and weighed 15lbs but needed time on SCBU. Do the new Ultrasound scan machines give a reliable measure of baby's weight?

[@dorothykoko9473]

THANKS

[@NakayimaStella-b2n]

Well done dear

[@deepti110]

Very informative. Thank u so much

[@somtoopreciousokolocha3982]

Thank you

[@zahraragheb3845]

great job

[@enreno]

Excellent

[@itayichiwala7937]

Brilliant

[@bogstandardcobber]

This is great

[@nkhiyabani]

👌🏻

[@mostafasalah703]

wow

[@animal6502]

Oooops

[@TITO-db1tg]

Buen nctn j d cv y FV nutrición Cristian f d con el banco nacional buenos no dejen s ver y no más ce me cuentas si no z ver más x tg s la brevedad no a veces nos vemos x Juan nos devuelva l

[@TITO-db1tg]

Saludos cordiales beatriz dev g cel b iv t jJuan c ver no nos vemos el martes g vehículos BT deja j gracias z buenos c s brinda los bancos x buenos la vida vr X

[@sweetangelz1126]

This is how baby McCoy died . Kara baby daughter of real housewives. Sad