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Re: fatal shoulder dystocia From: =?iso-8859-1?B?41wi+CD06fn4?= (omfisher@netvision.net.il) Thu Dec 24 02:16:01 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez MD: "Re: fatal shoulder dystocia" Previous message: Peter Wein: "Re: ectopic pregnancies and IM methotrexate" Maybe in reply to: STEWART PRINGLE: "fatal shoulder dystocia" Next in thread: LMontgomery: "Re: fatal shoulder dystocia" You probably feel quite awful right now, though it is not your fault in any way. Shoulder dystocia is trouble. Cheer up. -----Original Message----- From: STEWART PRINGLE <100724.2333@compuserve.com> To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> Date: Thursday, December 24, 1998 2:30 AM Subject: fatal shoulder dystocia >I had my first fatal case yesterday. > >An 110kg, 1.62m, para 2 being induced at 41 weeks with a big baby. Ist baby >3.1 kg, 2nd 3.9 kg, both normal deliveries. > >Labour progressed quickly and the delivery was being managed ( as >throughout the UK) by midwives. The head delivered after slow crowning and >the shoulders got stuck. I was the second to be called after the registrar >present couldn't deliver the baby. I arrived about 5 minutes after delivery >of the head and took about 90 seconds to deliver the baby breaking the >posterior arm in the process. I felt momentarily guilty but thought that at >least the baby was alive. But there was no heart beat and resus abandonded >after 25 minutes. > >I went home and found the December Brit J Obs Gynae on the door step. "A >review of 56 fatal cases..." What surprised me most was the median delay in >delivering the baby from delivery of the head - only 5 minutes. In my case >it was about 8 minutes. Before today I would have felt sure that at least a >heartbeat would have been present at that point. Furthermore I would have >not believed the record keeping of the times in the published cases. > >Do we really have as little time as that to deliver the shoulders or is >there is something else which contributes ( as the article suggests ) to >the poor outcome in severe shoulder dystocia? > >By the way this baby at 4.86kg was bigger than any (surprisingly) in the >series of 56. > >Stewart Pringle >Southern General Hospital >Glasgow, UK >100724.2333@compuserve.com > Next message: Efrain Ramirez MD: "Re: fatal shoulder dystocia" Previous message: Peter Wein: "Re: ectopic pregnancies and IM methotrexate" Maybe in reply to: STEWART PRINGLE: "fatal shoulder dystocia" Next in thread: LMontgomery: "Re: fatal shoulder dystocia"

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