Obstetrics, gynecology and reproductive medicine guidelines. Labor, delivery, postpartum. PubMed Free Full Text · Français – Español – Italiano – Deutsch. aprendiz bem como o registro e o feedback referente às suas tomadas de ou seja, uma tomada de decisão para que o bebê nasça; = Distócia de Ombro. Curso de Hemorrágia Pós Parto e Distocia de Ombro. Public. · Hosted by Midwife Education. Interested. clock. Saturday, November 24, at AM –

Author: Gok Tum
Country: Burkina Faso
Language: English (Spanish)
Genre: Love
Published (Last): 9 September 2017
Pages: 75
PDF File Size: 9.26 Mb
ePub File Size: 14.46 Mb
ISBN: 165-1-76657-683-2
Downloads: 73528
Price: Free* [*Free Regsitration Required]
Uploader: Samusho

Methods This was a prospective cohort study of pregnancies complicated with SD between 1 st June of and 31 st December ofin our institution. Moreover, the uniformity in the management of pregnancy complications and shoulder dystocia based on protocols that followed standard guidelines and were adopted by our department is another strength.

Shoulder dystocia : Guidelines, reviews, statements, recommendations, standards

Shoulder dystocia SD is defined as a delivery where an additional manoeuvre beyond gentle traction of the fetal head is needed to complete the baby delivery. If you have legal questions, you should find a lawyer with whom you can discuss your case issues.

Shoulder dystocia; Obstetric emergency; Obstetric maneuvers; Maternal morbidity; Neonatal morbidity. Bookmark this page on: It is possible that this higher rate is due to the fact that this was a prospective study and, consequently, obligation for precise documentation of the cases was often stressed during the study period.

Am J Obstet Gynecol. We did not considered bruising, cephalo-hematomas or other soft tissue injuries that could have resulted from the management of the shoulder dystocia as neonatal injury. In our series, none of these complications have occurred. We do not provide legal or medical advice. One medical malpractice case involving a spinal abscess settled for 3. Although no statistically significant difference in the type of operative vaginal delivery mid, low, outlet was noted, when the instrument was applied in a transverse position of the fetal head the rate of rotational maneuvers or delivery of posterior arm were higher.


Their ddistocia tell the story in a way that allows the jury to understand a very complex subject, very quickly. Furthermore, if an instrumental delivery is performed, when the instruments are applied in a transverse fetal head position, distoia is a higher need for rotational maneuvers or delivery diistocia posterior arm for solving SD.

The final maneuver used to release the impacted shoulders was considered the successful one.

Curso de Hemorrágia Pós Parto e Distocia de Ombro

Statistical analysis was conducted using Statistical Package for the Social Science for Mac version Medical Legal Art creates medical demonstrative evidence medical illustrations, drawings, pictures, graphics, charts, medical animations, anatomical models, and interactive presentations for use during legal proceedings, including research, demand letters, client conferences, depositions, arbitrations, mediations, settlement conferences, mock jury trials and for use in the courtroom.

In the same way, McFarland found higher neonatal injuries when three or more maneuvers were needed 9.

McFarland found that If you have medical questions, you should seek the advice of a healthcare provider. I can certainly say that the medical illustrations prepared by Medical Legal Art have assisted us in bringing cases to a successful resolution. In order to compare rotational maneuvers with delivery of posterior arm, we performed a sub-analysis: This was a prospective cohort study of pregnancies complicated with SD carried during two years and a half.

The medical doctors, both treating physicians and expert witnesses, have commented on the accuracy and professionalism of the medical illustrations.

During the study period, there were cases 3. Even jurors after trial have commented on the ease with which they grasp medical concepts and anatomy once the MLA exhibits were introduced and used by my experts.

Even judges who have “seen it all” are thoroughly impressed by the detail and sophistication of the illustrations. Read our License Agreement for details. The people at MLA have the uncanny ability of creating medical illustrations that disyocia the most complex of medical concepts and human anatomy to a lay audience. Atherosclerosis Fetal Strip Evidence. However, because the clavicles are part of the shoulder distocoa, they will be under stress during rotation in both directions, thus increasing the risk of fracture.


To license this image for other purposes, click here. According to the maneuver performed, data were compared using Chi-square test, Fischer exact test or Student t test, as appropriate. This exhibit is available in these languages: We found that when more extensive maneuvers were needed, newborns had lower Apgar score at the sistocia minute and an higher rate of neonatal injuries, specifically clavicular fracture. Medical legal Art provides our firm with illustrations and animations that are clear and persuasive.

This image may only be used in support of a single legal proceeding and for no other purpose. However, we found that cases requiring more extensive maneuvers were associated with longer second stages of labor 45 minutes versus 60 minutes and the transverse fetal head position.

In addition, their custom illustrations show in great detail the extent of injuries suffered and the devastating effects they have had on the client’s anatomy. Start with good illustrations, a clear and direct voice, a view of the jury as 12 medical students on day one of training, and your expert testimony becomes a pleasure, even on cross examination.

The incidence of SD ranges from 0. However, we believe this finding needs to be further evaluated in prospective studies where the fetal ddistocia position is recorded regardless of the type of delivery. Maternal demographics are presented in Table I.

Bookmark this page on: This was a prospective cohort study of pregnancies complicated with SD between 1 st June of and 31 st December ofin our institution.

Read our License Agreement for details. To license this image for other purposes, click here.