HEALTH OF WOMAN. 2019.6(142): 7–10; doi 10.15574/HW.2019.142.7

M.I. Rymarchuk, O.M. Makarchuk, І.К. Orishchak
Ivano-Frankivsk national medical University

Although there are known risk factors for shoulder dystocia (such as gestational diabetes and macrosomia), in most cases this complication occurs unexpectedly, leading to situations that can be quite traumatic not only for the mother, but also for the medical workers who are involved in assisting with childbirth. According to reports, a certain number of antenatal and intranatal characteristics are associated with dystocia of the shoulders, but statistical processing showed low prognostic informativeness. Based on the analysis of the literature and on the basis of our own clinical experience, the article suggests methods of manual obstetric care, which are appropriate for difficult removal of the shoulders in childbirth with head presentation of the fetus.

Key words: shoulder dystocia, labour, fetus, birth trauma.

REFERENCES

1. Shoulder Dystocia: Overview, Indications, Contraindications. 2017, 21 June. Retrieved 2 April 2019.

2.Оverland EA, Spydslaug A, Nielsen CS, Eskild A. 2009. Risk of shoulder dystocia in second delivery: does a history of shoulder dystocia matter? American Journal Obstetrics and Gynaecology 200:506 e1-506 e6. https://doi.org/10.1016/j.ajog.2008.12.038; PMid:19268881

3. Lyalichkina NA, Makarova TV, Salyamova LSh. 2016. Makrosomiya ploda. Akusherskie i perinatalnyie ishodyi. Sovremennyie problemyi nauki i obrazovaniya 3.

4. Kovtenenko RV, Tolstiova EA, Klimenko OV, Bolbot YuK. 2016. Mediko-biologicheskie i sotsialno-gigienicheskie aspektyi krupnogo ploda. Materialyi VII Mezhdunarodnoy nauchno-prakticheskoy konferentsii «Sostoyanie zdorovya: meditsinskie, sotsialnyie i psihologo-pedagogicheskie aspektyi». Chita: 241–249.

5. Chambers CN, Brennan T, Caugley AB, Simpson CN. 2015. The effect of maternal ethnicity on cesarean delivery in macrosomic term pregnancies. Obstetrics and Gynecology 125(1):86. https://doi.org/10.1097/01.AOG.0000463244.59749.16

6. KC K, Shakya S, Zhang H. 2015. Gestational Diabetes Mellitus and Macrosomia: A Literature Review. Ann Nutr Metab. 66(2):14-20. https://doi.org/10.1097/01.

7. Dahlke JD, Bhalwal A, Chauhan SP. 2017, June. «Obstetric Emergencies: Shoulder Dystocia and Postpartum Hemorrhage». Obstetrics and Gynecology Clinics of North America 44 (2): 231–243. https://doi.org/10.1016/j.ogc.2017.02.003; PMid:28499533

8. Int J Womens Health. Shoulder dystocia: incidence, mechanisms, and management strategies, 10:723-732. https://doi.org/10.2147/IJWH.S175088; PMid:30519118 PMCid:PMC6233701. eCollection 2018. 2018, Nov 9.

9. Poujade O, Azria E. 2018, Aug. Prevention of shoulder dystocia: A randomized controlled trial to evaluate an obstetric maneuver, Eur J Obstet Gynecol Reprod Biol. 227:52-59. https://doi.org/10.1016/j.ejogrb.2018.06.002; PMid:29886318. Epub 2018, Jun 4.

10. Konkov DH, Holianovskyi OV, Chernov AV, Krasnov VV. Elektronnyi navchalnyi posibnyk «Dystotsiia plechykiv ploda» stvoreno hrupoiu avtoriv z Natsionalnoi medychnoi akademii pisliadyplomnoi osvity im. P.L. Shupika ta Vinnytskoho natsionalnoho medychnoho universytetu im. M. I. Pyrohova za pidtrymky ukraino-shveitsarskoi Prohramy «Zdorovia materi ta dytyny». Rekomendovanyi Vchenoiu radoiu NMAPO im. P.L. Shupika, 2015.