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Shoulder dystocia: an obstetrical emergency.


 
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1. Title Title of document Shoulder dystocia: an obstetrical emergency.
 
2. Creator Author's name, affiliation, country Joana Borges Marques; Departamento de Ginecologia e Obstetrícia, Faculdade de Medicina da Universidade do Porto, Portugal.; Portugal
 
2. Creator Author's name, affiliation, country Ana Reynolds; Portugal
 
3. Subject Discipline(s)
 
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4. Description Abstract Shoulder dystocia is one of the most feared obstetric emergencies due to related maternal and neonatal complications and therefore, the growing of medico-legal litigation that it entails. Although associated with risk factors such as fetal macrossomia, gestacional diabetes and instrumented delivery, the majority of cases are unpredictable. The lack of a consensus on shoulder dystocia diagnosis causes variations on its incidence and hampers a more comprehensive analysis. Management guidelines described for its resolution include several manoeuvres but the ideal sequence of procedures is not clearly defined in more severe cases. Hands-on and team training, through simulation-based techniques applied to medicine, seems to be a promising method to learn how to deal with shoulder dystocia having in mind a reduction in related maternal or neonatal morbidity and mortality. The main goal of this paper is to provide a comprehensive revision of shoulder dystocia highlighting its relevance as an obstetric emergency. A reflection on the management is presented emphasising the importance of simulation-based training.
 
5. Publisher Organizing agency, location Ordem dos Médicos
 
6. Contributor Sponsor(s)
 
7. Date (YYYY-MM-DD) 2011-12-12
 
8. Type Status & genre article
 
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9. Format File format PDF (Português)
 
10. Identifier Uniform Resource Identifier https://actamedicaportuguesa.com:443/revista/index.php/amp/article/view/480
 
10. Identifier Digital Object Identifier (DOI) http://dx.doi.org/10.20344/amp.480
 
11. Source Title; vol., no. (year) Acta Médica Portuguesa; Vol 24, No 4 (2011): Julho-Agosto
 
12. Language English=en
 
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15. Rights Copyright and permissions Copyright (c)