Shoulder Dystocia
Obstetric emergency where fetal shoulders become impacted after delivery of the head.
Full Definition
Shoulder dystocia is an unpredictable obstetric emergency occurring when the fetal anterior shoulder becomes impacted behind the maternal symphysis pubis after delivery of the fetal head. This complication requires immediate intervention to prevent fetal hypoxia and maternal injury. Anesthetic management focuses on providing adequate analgesia for emergency maneuvers while maintaining maternal hemodynamic stability and ensuring readiness for emergency cesarean section if vaginal delivery becomes impossible. The anesthesiologist must be prepared to support various positioning maneuvers and potential episiotomy extension while monitoring for maternal and fetal compromise.
Usage
Usage note: Document specific maneuvers performed and anesthetic support provided during emergency.
In Context
- "Shoulder dystocia prompted emergency maneuvers under continuous epidural analgesia." — Emergency delivery documentation
- "The anesthesia team supported shoulder dystocia management with additional local anesthesia for episiotomy." — Complicated vaginal delivery note