Procedure Ready: Ob/Gyn

Shoulder dystocia

Listen Later

Shoulder dystocia is an unpredictable obstetric emergency where seconds matter. This episode covers the definition, risk factors, prevention counseling, exactly what you'll see in the delivery room, and how you as a student can be most useful – including timekeeping and supporting the family.

Show Outline:

  • Definition – Failure to deliver fetal shoulders with normal downward traction
  • Why We Care – Baby hypoxia, brachial plexus injuries, maternal injuries
  • Risk Factors – Diabetes, excessive weight gain, S>D, large baby, history of shoulder dystocia (~10–15% recurrence), turtling while pushing
  • Prevention – Difficult to predict. Offer cesarean if EFW >5000g (no DM) or >4500g (with DM).
  • Your Role – Step back. Help minimize family interference with calm explanations. Offer to be the timekeeper – write down times and events, announce every 2 minutes.
  • What You'll See
    • Hypothesize shoulder orientation, suprapubic pressure, place stool
    • Announce the problem and call for help
    • Maneuvers: McRoberts, suprapubic pressure, posterior arm delivery, rotational (Wood's screw, Rubin), Gaskin's (all fours), episiotomy, Zavanelli (last resort)

      • About the Speaker:

      Jennifer Doorey, MD, MS – Academic Ob/Gyn at The Johns Hopkins University School of Medicine. As the founder of MedReady, Dr. Doorey seeks to advance clinical medical education by developing resources for medical students and clinical educators.

      Procedure Ready: Ob/Gyn is a podcast aimed at medical, PA, and NP students entering their clinical rotation in Ob/Gyn. The views expressed are the speaker's own and do not constitute medical advice.

      ...more
      View all episodesView all episodes
      Download on the App Store
      Procedure Ready: Ob/GynBy Jennifer Doorey, MD, MS
      • 4.9
      • 4.9
      • 4.9
      • 4.9
      • 4.9

      4.9

      268 ratings

      More shows like Procedure Ready: Ob/Gyn

      View all
      AFP: American Family Physician Podcast by American Academy of Family Physicians

      AFP: American Family Physician Podcast

      701 Listeners

      JAMA Clinical Reviews by JAMA Network

      JAMA Clinical Reviews

      502 Listeners

      Behind The Knife: The Surgery Podcast by Behind The Knife: The Surgery Podcast

      Behind The Knife: The Surgery Podcast

      1,305 Listeners

      The Curbsiders Internal Medicine Podcast by The Curbsiders Internal Medicine Podcast

      The Curbsiders Internal Medicine Podcast

      3,378 Listeners

      Emergency Medical Minute by Emergency Medical Minute

      Emergency Medical Minute

      274 Listeners

      Core IM | Internal Medicine Podcast by Core IM Team

      Core IM | Internal Medicine Podcast

      1,150 Listeners

      Evidence Based Birth® by Rebecca Dekker, PhD, RN

      Evidence Based Birth®

      1,032 Listeners

      CREOGs Over Coffee by CREOGs Over Coffee

      CREOGs Over Coffee

      558 Listeners

      Zero to Finals Medical Revision Podcast by Thomas Watchman

      Zero to Finals Medical Revision Podcast

      144 Listeners

      The Clinical Problem Solvers by The Clinical Problem Solvers

      The Clinical Problem Solvers

      519 Listeners

      Harrison's PodClass: Internal Medicine Cases and Board Prep by AccessMedicine

      Harrison's PodClass: Internal Medicine Cases and Board Prep

      377 Listeners

      » Divine Intervention Podcasts by Divine-Favour Anene

      » Divine Intervention Podcasts

      1,015 Listeners

      Cram The Pance by Scott Shapiro PA-C

      Cram The Pance

      1,136 Listeners

      Normal Gossip by Normal Gossip

      Normal Gossip

      5,768 Listeners

      Ninja Nerd by Ninja Nerd

      Ninja Nerd

      327 Listeners

      Clerkship Ready: Pediatrics by MedReady

      Clerkship Ready: Pediatrics

      22 Listeners