What Are Some Of The Risk Factors For Shoulder Dystocia?
Not only does shoulder dystocia pose a risk to the mother, it poses an even greater risk to the child. Due to cord compression, doctors must quickly work to free the baby to prevent a reduced level of blood and oxygen. The following items found below are some of what doctors use to determine if there may be an increased risk of shoulder dystocia  complications during delivery:
Increasing Fetal Weight: This is known as fetal macrosomia. Doctors should be aware if the baby is greater than 4000g, or 8.8 lbs
Maternal Body Mass Index: Mothers who are obese come with an increased risk of shoulder dystocia. An increased fetal birth rate can be linked to a mother’s obesity in some cases
Prior Shoulder Dystocia Delivery
Gestational Diabetes: Both forms of diabetes pose an increased risk of shoulder dystocia because both conditions can increase the fetal weight.
Post-Term Pregnancy: A pregnancy greater than 42 weeks.
Doctors have a duty to talk with their patients about the various risks which increase the chances of suffering from shoulder dystocia during delivery. The American College of Obstetricians and Gynecologists suggest  that doctors discuss the following items with mothers in determining where a vaginal or C-Section delivery is appropriate:
Estimated Fetal Weight
Maternal Glucose Intolerance
Severity Of Prior Neonatal Injury
Additionally, doctors must be prepared for a shoulder dystocia case, especially when select risk factors are present. If the doctor is inexperienced with a shoulder dystocia delivery, it is not unfamiliar for the doctor to have a more senior doctor available for assistance.
 US National Library of Medicine National Institute of Health Shoulder Dystocia: Prediction and Management https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5375046/
 American Family Physician ACOG Releases Practice Pattern on Shoulder Dystocia https://www.aafp.org/afp/1998/0515/p2546.html
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