Shoulder dystocia: Simulation and a team-centered protocol

William A. Grobman*

*Corresponding author for this work

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

Shoulder dystocia is an obstetric emergency that has been reported to occur in 0.2-3% of all vaginal deliveries. Several characteristics of shoulder dystocia make it a particular challenge to manage effectively. It is relatively infrequent, the diagnosis cannot be made according to a single objective criterion that can be recognized to exist by all members of the care team who are present, it is unpredictable, and there is the need for coordinated actions of all members of the health care team who have come together on the day of the delivery and may not have worked together before or specifically during a shoulder dystocia. In general, there is evidence from different medical disciplines that checklists/protocols and simulation may be used to enhance team performance. There is also some evidence, albeit limited, that such techniques may be used to improve shoulder dystocia outcomes.

Original languageEnglish (US)
Pages (from-to)205-209
Number of pages5
JournalSeminars in Perinatology
Volume38
Issue number4
DOIs
StatePublished - Jun 2014

Keywords

  • Patient safety
  • Protocols
  • Shoulder dystocia

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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