Titlebook: Shoulder Dystocia and Birth Injury; Prevention and Treat James A. O‘Leary Book 2009Latest edition Humana Press 2009 Delivery techniques.Man

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Delivery TechniquesThe more severe the dystocia, the greater the need for additional maneuvers. Delivering of the posterior arm is the safest technique for the infant. Episiotomy is very important.

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The McRoberts ManeuverThe McRoberts position, or maneuver, is a good first-line technique. If combined with more than gentle traction, a brachial plexus will occur. It usually requires additional strong suprapubic pressure.

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Predisposing Factors for Shoulder Dystocia-Related Birth Injuries: Causation AnalysisThis chapter contradicts the claim that more than half of all brachial plexus injuries are associated with uncomplicated deliveries. Infants are injured much more frequently with macrosomia and operative delivery. Twenty-five percent of infants suffer injury, and 5% to 22% become permanent. Shoulder dystocia was recorded in 97% of 135 cases.

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Recognition, Classification, and Management of Shoulder Dystocia: The Relationship to Causation of BUsing a classification for shoulder dystocia provides insight into a greater understanding of the mechanisms of injury. Failure of restitution is an ominous finding. Traction on the head injures the brachial plexus. Contractions are compressive and expulsive force, not stretching.

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Minimizing the Risks of Shoulder Dystocia-Related Fetal InjuriesThe rate of injury can be reduced. Prediction of the complication is not the solution. Prevention does not require prediction. The foundations of the science of medicine were laid down by Hippocrates not Nostradamus!

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James A. O‘LearyOne-of-a-kind book, entirely rewritten and updated, now with nine renowned new authors.Contains the latest causation theories and reviews of world-wide literature.Contributors provide a combined clini

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