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(O64.4) Obstructed labour due to shoulder presentation
More details coming soon
1 080 256 in individuals diagnosis obstructed labour due to shoulder presentation confirmed
2 687 deaths with diagnosis obstructed labour due to shoulder presentation
Diagnosis obstructed labour due to shoulder presentation is diagnosed Prevalent in Women Only
0
Men receive the diagnosis obstructed labour due to shoulder presentation
0 (No mortality)Died from this diagnosis.
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1 080 256
Women receive the diagnosis obstructed labour due to shoulder presentation
2 687 (0.2 %)Died from this diagnosis.
Risk Group for the Disease obstructed labour due to shoulder presentation - Men aged 0 and Women aged 30-34
No Cases of the Disease Obstructed labour due to shoulder presentation identified in Men
Less common in men the disease occurs at Age 0-95+Less common in women the disease occurs at Age 0-14, 50-69, 75-95+
In Women diagnosis is most often set at age 15-49, 70-74
Disease Features obstructed labour due to shoulder presentation
Absence or low individual and public risk
Obstructed labour due to shoulder presentation - what does this mean
Obstructed labour due to shoulder presentation occurs when the baby's shoulder becomes stuck in the mother's pelvis during delivery, preventing the baby from being born. this can lead to a prolonged labour and can be dangerous for both mother and baby if not managed properly.
What happens during the disease - obstructed labour due to shoulder presentation
Obstructed labour due to shoulder presentation occurs when the presenting part of the fetus is the shoulder rather than the head. this can occur due to malpositioning of the fetus or due to the shape of the pelvis. when the shoulder is the presenting part, the diameter of the shoulder is wider than the diameter of the pelvis which can prevent the fetus from descending and obstruct the labour. this can lead to prolonged labour, fetal distress, and in some cases, a caesarean section.
Clinical Pattern
More details coming soon
How does a doctor diagnose
- Obtain a detailed patient history and physical examination.
- Perform a pelvic examination to assess the size and shape of the pelvis.
- Monitor the fetal heart rate and uterine contractions.
- Perform an ultrasound to assess the position of the fetus.
- Perform a vaginal exam to check the position of the fetal head.
- Perform a fetal scalp electrode to monitor the fetal heart rate.
- Perform an X-ray to confirm the shoulder presentation.
- Perform a CT scan to check the size of the pelvis and the position of the fetus.
Treatment and Medical Assistance
Main Goal: To reduce the risk of complications from shoulder presentation and facilitate vaginal delivery.
- Monitor the fetal heart rate and maternal vital signs
- Administer intravenous fluids to the mother
- Administer oxytocin to the mother to stimulate contractions
- Perform an episiotomy to enlarge the birth canal
- Attempt to manually rotate the baby's head and shoulders
- Attempt to manually push the baby's shoulders through the birth canal
- Perform a caesarean section if the baby cannot be delivered vaginally
6 Days of Hospitalization Required
Average Time for Outpatient Care Not Established
Obstructed labour due to shoulder presentation - Prevention
The best way to prevent obstructed labour due to shoulder presentation is for pregnant women to attend regular prenatal care appointments with their healthcare provider. during these appointments, the healthcare provider can monitor the position of the baby and take steps to ensure that the baby is in the correct position before labour begins. additionally, it is important to practice good nutrition and exercise during pregnancy to ensure the baby is growing properly and to reduce the risk of shoulder presentation at delivery.