When confronted with shoulder dystocia, doctors and midwives do all sorts of mistakes. This is a situation where split second accurate decisions are required. These correct or incorrect decisions do account for the final clinical outcome.
- 1. The common mistake done is the belief that, just pulling the baby's head will effect the shoulder delivery. This is totally wrong.
- Sinking feeling in the heart of the acoucher.
- Not knowing which maneuver to do first. In the end, not doing any one maneuver properly.
- Some health professionals also feel that they are going to loose the job whilst all of this is going on
- It does not matter, which maneuver you select to do first, whatver you do, do it correctly.
- write what time the head was born and what time the baby's body was born
- Which way baby was facing when the head came out
- Estimate the blood loss correctly by weighing the swabs, and do not do eyeball estimation of blood loss.
- Rule out third and fourth degree tears.
- Debrief the mother to say how badly your shoulders and arms are hurting to get the baby's shoulders out safely.
No comments:
Post a Comment