Shoulder Dystocia

For Medical Students, Doctors, Midwives, and Healthcare Professionals

Learning Objectives

By the end of this lesson, participants will be able to:

  1. Define shoulder dystocia and understand its pathophysiology

  2. Identify risk factors and recognize clinical signs

  3. Apply systematic management protocols (HELPERR mnemonic)

  4. Understand prevention strategies and documentation requirements

  5. Recognize complications and implement appropriate follow-up care

Definition and Pathophysiology

Shoulder Dystocia is an obstetric emergency occurring when the fetal head delivers but the anterior shoulder becomes impacted behind the maternal symphysis pubis, preventing delivery of the body.

Incidence: 0.2-3% of all vaginal deliveries, with higher rates in diabetic pregnancies and macrosomic infants.

Pathophysiology:

  • Disproportion between fetal shoulder diameter and maternal pelvic outlet

  • Most commonly involves anterior shoulder impaction behind symphysis pubis

  • Posterior shoulder may also impact on sacral promontory

  • Increases risk of brachial plexus injury, fractures, and asphyxia

Risk Factors

Maternal Factors:

  • Diabetes mellitus (pre-gestational or gestational)

  • Obesity (BMI >30 kg/m²)

  • Previous history of shoulder dystocia

  • Prolonged second stage of labor

  • Assisted vaginal delivery (forceps/vacuum)

  • Maternal height <150cm

Fetal Factors:

  • Macrosomia (estimated fetal weight >4000g or >4500g)

  • Post-term pregnancy (>42 weeks)

  • Male fetus

Labor Factors:

  • Prolonged first stage of labor

  • Secondary arrest of labor

  • Precipitous delivery

Clinical Recognition

Cardinal Sign: "Turtle sign" - fetal head retracts against the perineum after delivery, resembling a turtle withdrawing into its shell.

Other Signs:

  • Inability to deliver shoulders with normal gentle downward traction

  • Difficulty visualizing the neck

  • Impaction sensation during attempted delivery

Time Factor: Diagnosis is confirmed when shoulders fail to deliver within 60 seconds of head delivery or after gentle traction attempts.

Management Protocol: HELPERR Mnemonic

H - Help: Call for immediate assistance

  • Experienced obstetrician

  • Anesthesiologist

  • Pediatrician/neonatologist

  • Additional nursing staff

E - Evaluate for Episiotomy

  • Consider generous mediolateral episiotomy if needed for space

  • Not always necessary but may facilitate maneuvers

L - Legs (McRoberts Maneuver)

  • Hyperflex maternal hips to chest (135° flexion)

  • Most effective single maneuver (success rate 42-90%)

  • Flattens sacrum and increases pelvic outlet

P - Pressure (Suprapubic Pressure)

  • Apply firm, continuous pressure above symphysis pubis

  • Direction: posteriorly and caudally

  • Never apply fundal pressure (contraindicated)

E - Enter the Vagina (Internal Maneuvers)

  • Rubin's Maneuver: Push posterior aspect of anterior shoulder toward fetal chest

  • Woods' Screw Maneuver: Rotate posterior shoulder 180° in corkscrew fashion

R - Remove Posterior Arm

  • Insert hand posteriorly, grasp fetal forearm

  • Flex elbow and sweep arm across chest and out

  • Success rate: 72-84%

R - Roll Over (Gaskin Maneuver)

  • Position mother on hands and knees

  • Allows posterior shoulder to become anterior

  • Useful when other maneuvers fail

Additional Maneuvers (if HELPERR fails)

Zavanelli Maneuver:

  • Replace fetal head into vagina and perform cesarean section

  • Rarely used, high morbidity

  • Consider only when all else fails

Symphysiotomy:

  • Division of symphysis pubis

  • Rarely performed in developed countries

  • Reserved for extreme cases

Complications

Maternal:

  • Postpartum hemorrhage (11-25%)

  • Third and fourth-degree perineal tears

  • Uterine rupture (rare)

  • Psychological trauma

Fetal/Neonatal:

  • Brachial plexus injury (4-40%)

    • Erb's palsy (C5-C6)

    • Klumpke's palsy (C8-T1)

  • Clavicular fracture (10-15%)

  • Humeral fracture (4%)

  • Hypoxic brain injury

  • Perinatal death (rare, <1%)

Prevention Strategies

Antepartum:

  • Optimize maternal glucose control in diabetic patients

  • Consider elective cesarean section for estimated fetal weight >4500g (diabetic) or >5000g (non-diabetic)

  • Discuss delivery options with high-risk patients

Intrapartum:

  • Avoid excessive fundal pressure during delivery

  • Consider assisted delivery risks in macrosomic pregnancies

  • Prepare for potential shoulder dystocia in high-risk cases

Documentation Requirements

Essential Elements:

  • Time of head delivery

  • Time to diagnosis recognition

  • Maneuvers performed and sequence

  • Personnel involved

  • Fetal condition at birth

  • Maternal condition

  • Complications identified

Legal Considerations:

  • Thorough, contemporaneous documentation

  • Clear timeline of events

  • Objective description of maneuvers

  • Communication with family documented

Post-Delivery Management

Immediate Care:

  • Neonatal resuscitation if required

  • Assessment for birth injuries

  • Maternal assessment for complications

  • Adequate pain relief and support

Follow-up:

  • Pediatric evaluation for brachial plexus injury

  • Physiotherapy referral if indicated

  • Maternal debriefing and psychological support

  • Documentation review and learning opportunities

 

References

  1. American College of Obstetricians and Gynecologists. (2022). Shoulder Dystocia. Practice Bulletin No. 178. Obstet Gynecol, 140(5), 1083-1095.

  2. Royal College of Obstetricians and Gynaecologists. (2012). Shoulder Dystocia. Green-top Guideline No. 42. RCOG Press.

  3. Gherman, R.B., Chauhan, S.P., Ouzounian, J.G., et al. (2006). Shoulder dystocia: the unpreventable obstetric emergency with empirical management guidelines. Am J Obstet Gynecol, 195(3), 657-672.

  4. Hoffman, M.K., Bailit, J.L., Branch, D.W., et al. (2014). A comparison of obstetric maneuvers for the acute management of shoulder dystocia. Obstet Gynecol, 123(2 Pt 1), 272-278.

  5. World Health Organization. (2015). WHO recommendations: intrapartum care for a positive childbirth experience. Geneva: World Health Organization.

  6. Collège National des Gynécologues et Obstétriciens Français. (2018). Dystocie des épaules. Recommandations pour la pratique clinique. CNGOF.

  7. Society of Obstetricians and Gynaecologists of Canada. (2016). Shoulder Dystocia. SOGC Clinical Practice Guideline No. 296. J Obstet Gynaecol Can, 38(8), 723-734.

  8. Leung, T.Y., Stuart, O., Suen, S.S., et al. (2011). Comparison of perinatal outcomes of shoulder dystocia alleviated by different type and sequence of manoeuvres: a retrospective review. BJOG, 118(8), 985-990.

  9. Chauhan, S.P., Gherman, R., Hendrix, N.W., et al. (2010). Shoulder dystocia: comparison of the ACOG practice bulletin with another national guideline. Am J Perinatol, 27(2), 129-136.

  10. Doumouchtsis, S.K., Arulkumaran, S. (2006). Head-to-body delivery interval in shoulder dystocia: does it affect neonatal outcome? BJOG, 113(10), 1133-1137.

Shoulder Dystocia Turtle sign

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