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Re: shoulder dystociaFrom: Betsy Hyde (elishyde@connix.com)Fri Apr 25 17:47:14 1997
> >The only published definition of shoulder dystocia that I have seen, came >out about 1-2 years ago and defined S.D. as a delivery where maneuvers to >deliver the shoulders were required or the interval from delivery of the >head to delivery of the baby exceeded 60 seconds. I like this definition >nad think it should be universally adopted. I know. There are those who >will disagree. I think this is a reasonable definition of SD, although I suspect that the incidence of SD would greatly increase if a > 1 minute interval is the criterion for definition. I have had many births where the interval from delivery of the head to delivery of the shoulder exceeded 1 minute, but few where the interval exceeded 2-3 minutes. I kind of like the non-scientific definition of SD - if sweat rolls down the middle of my back, it's a SD. No RCTs on this one, just MHO.
-- Betsy Hyde CNM Branford, CT midwife in collaborative OB/CNM practice assistant clinical professor at Yale
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