MedBugs: SAQ #437

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Case: Shoulder dystocia

A 32-year-old woman presents to your ED complaining of crampy abdominal pain. She is G2P1 at 38 weeks’ gestation and the pain appears to be due to uterine contractions.

1. Give (2) historical features of contractions confirm that true labour has started. (2 marks) 2 marks

2. What examination findings suggest that delivery is likely to occur in the ED? (4 marks) 4 marks

The baby’s head is delivered but the delivery progresses no further. You are concerned that the baby’s shoulder has become stuck.

3. List the steps/manoeuvres, in the correct order, you would perform to overcome this obstetric emergency. (6 marks) 6 marks

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Case: Shoulder dystocia

1. Give (2) historical features of contractions confirm that true labour has started. (2 marks) 2 marks

2. What examination findings suggest that delivery is likely to occur in the ED? (4 marks) 4 marks

3. List the steps/manoeuvres, in the correct order, you would perform to overcome this obstetric emergency. (6 marks) 6 marks

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