Shoulder Dystocia : Resolution in All-Fours or Knee Chest Position - OBG CUHK

Shoulder Dystocia: Resolution in All-Fours or Knee Chest Position (English)
Narrated by: Dr Kar Kei YUNG
(O&G CUHK)Produced by: Prof Tak Yeung LEUNG (O&G CUHK)
This introductory video demonstrates how to position a patient in the all fours or knee chest position for resolution of shoulder dystocia. It also highlights some important points when performing fetal neck traction and internal maneuvers after repositioning the patient.
Bearing in mind that the anterior brachial plexus may have been injured by the preceding traction performed when the patient is in supine or McRobert position, one must be very cautious when attempting traction on the contralateral shoulder being stuck at the sacrum, otherwise it may end up with bilateral brachial plexus injury.
When doing internal maneuvers, the opposite hand should be inserted from above, as the maternal pelvis and the fetal facing direction are reversed. During ‘posterior’ arm delivery, its forearm should be pulled downward to facilitate rotations of he shoulders.
To learn more about shoulder dystocia,
you are invited to join the SOPHIE course
organised by the Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong.
SOPHIE is the acronym of ‘Safe Obstetric Practice for High rIsks and Emergencies’ and is also the Greek word for 'wisdom'. Our Sophie course does not only teach knowledge or skills, but most importantly, the wisdom of applying them.
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