Birth Injury Cases- Shoulder Dystocia & Erbs Palsy
June 22nd, 2009 | 
Author: 
Shoulder dystocia is a medical emergency during birthing where the baby gets obstruction behind mom’s pelvic bone. If this condition let for a long time can make injury for the baby. often, the baby’s head is pulled to get the baby out quickly. This creates injury for the baby.
The use of excessive lateral traction on the head of the child when the baby’s shoulder is stuck in the birth canal can lead to nerve damage and become seriously injured. This injury is called “Erbs palsy“, “Klumpke’s palsy” or “Brachial Plexus palsy”. This nerve damage causes significant disability in the child’s hand and has a long-term effects. Most children with this injury can not use their hands and arm.
Some physicians use variety procedures to free the baby’s shoulder from the mother’s pelvis:
1. Woods maneuver or corkscrew maneuver. Using rotation movement away from the obstruction to free the baby’s shoulder.
2. Rubin maneuver. The baby turns in the opposite direction of the obstruction.
3. McRobert’s maneuver. Pull the mom’s thigh back as far as possible with the pelvic outlet.
4. Jacquemier’s maneuver. Deliver the posterior arm to let the shoulder out from the mom’s pelvic bone.
5. Rubin I. Applying suprapubic pressure to the mother’s pubic bone, to turn and dislocate the shoulder under the pubis symphysis.
6. Rubin II. Placing the posterior pressure on the anterior shoulder.
7. Doing an intentional cut (episiotomy) to allow and prevent a tear of the skin and muscles as the baby passes through the birth canal.
8. Making an intentional fracture to clear the cervix.
9. Zavanelli’s maneuver. Pushing the baby’s head back into the vagina and performing a caesarean section.
Posted in Shoulder Dystocia | 
Tags: Brachial Plexus palsy, Erbs palsy, Klumpke’s palsy, Shoulder Dystocia
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