Shoulder dystocia: fifteen years' experience in a community hospital.

  title={Shoulder dystocia: fifteen years' experience in a community hospital.},
  author={H G Hopwood},
  journal={American journal of obstetrics and gynecology},
  volume={144 2},
  • H G Hopwood
  • Published 1982 in American journal of obstetrics and gynecology
The profile of the patient most likely to present with shoulder dystocia was determined to be a patient over 41 weeks' gestation with a prolonged decelerative phase of labor (8 to 10 cm) who was receiving epidural anesthesia before adequate descent of the vertex, resulting ina midforceps delivery. The patho-anatomic mechanism involves displacement of the anterior shoulder from a larger, i.e., oblique diameter, to a small (anteroposterior) diameter of the pelvis. The restitution of the shoulders… CONTINUE READING

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