Management of Shoulder Dystocia
Obstetrics and GynecologyPublished 1 November 2007
Joanna F. Crofts, Christine Bartlett, Denise Ellis, Linda Hunt, Robert Fox, Timothy Draycott
Citations178
SJR quartileQ1
SJR score1.97
SNIP2.22
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ObjectiveStudy objective
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TL;DR
Overall, training resulted in a sustained improvement in performance and those who were proficient before initial training performed best at follow-up, but skill retention was also good in those who learned to deliver during initial training.
Abstract
II.
Keywords
MedicineHealth Professions
Obstetrics and GynecologyTraining for Shoulder Dystocia
255 Citations2006Joanna F. Crofts, Christine Bartlett +4 more
This study verifies the need for shoulder dystocia training; before training only 43% participants could achieve delivery and training on a high-fidelity mannequin, including force perception teaching, offered additional training benefits.
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It is concluded that in the group of pregnancies delivering neonates greater than or equal to 4000 gm, the occurrence of shoulder dystocia cannot be predicted from clinical characteristics or labor abnormalities, and that the occurrence is not evidence of medical malpractice.
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Training with a simulation-training scenario improved resident performance in the management of shoulder dystocia, including timelines of their interventions, performance of maneuvers, and overall performance.
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103 Citations2005Joseph G. Ouzounian, Robert B. Gherman
Although shoulder dystocia was observed more frequently with increasing birth weight, current limitations in estimating birth weight antenatally with accuracy preclude its practical use as a reliable predictor.
BJOG An International Journal of Obstetrics & GynaecologyShoulder dystocia training using a new birth training mannequin
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The management of shoulder dystocia improved following training with the mannequin, and there was a reduction in the head‐to‐body delivery duration, and the maximum applied delivery force, following training; however, these did not reach statistical significance.
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