sharing on shoulder dystocia
I'm putting together some cheat sheets on shoulder dystocia for my birth, and I thought I might as well share. Most of it has come from MDC threads I've saved and a there is a good website here too. I'm not going to share everything I've found, because that would be tmi, but these are some helpful tidbits.
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Originally Posted by Defenestrator
Yes, you can turn the baby either way. Moving the baby toward the way that it is facing (counterclockwise for a baby looking to the left when mom's on hands and knees) will help the shoulders to collapse forward and become smaller. But rotating the baby away from the way it is facing (clockwise for that same baby) will make some room so that the posterior arm can be swept out.
Gail Tully, the woman who runs the spinningbabies.com site came up with this handy simplified approach to handling shoulder dystocia in natural childbirth. The FLIP FLOP. 1) Flip the mom to hands and knees. 2) Lift the right leg into a runner's stance 3) turn the baby into the Oblique (not perpandicular or parallel to the ground but diagonal) 4) try to sweep out the Posterior arm (if still on hands and knees, that's the arm on the top). This method has really worked for me. I recommend it. If I didn't make it obvious, all of the steps above spell FLOP. It won't solve every shoulder dystocia, but it is a good place to start.
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Stacia -- intrepid mama, midwife, and doula. Changing the world one 'zine at a time.
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http://www.mothering.com/discussions...d.php?t=962193http://spinningbabies.com/spinning-b...ulder-dystociahttp://spinningbabies.com/images/sto...s/flipflop.pdf
-Gail Tully's shoulder dystocia page & pdf
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Originally Posted by MsBlack
As for that memnonic device HELPERR--to me it is bass-ackwards. FIRST, avoid having mom on her butt and back during labor and especially during pushing. THEN, get her to her hands and knees before trying anything else if shoulders are stuck; from hands and knees, go to 'runner's starting position'--one knee down, one knee up with that foot flat on the bed/floor. Sometimes the shift to h&k is enough movement to shift the relationships of baby and pelvis; sometimes the move to runner's start will provide the needed shift. Only if baby doesn't voluntarily shift enough to get born do you insert hands to try to rotate shoulders (AND DON"T PUT TRACTION ON THE BABY'S HEAD!)....and only if that doesn't work do you go to McRoberts position. Sometimes, it is all the various moves/position changes that together help dislodge shoulders.
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http://www.mothering.com/discussions...21&postcount=8http://www.aafp.org/afp/20040401/1707.html - this has several diagrams to help understand how to reverse a shoulder dystocia. It also has the HELPERR pneumonic MS BLACK refers to in the above - the steps are probably more appropriate for a hospital birth, as she points out, but the information is still there.
Link to SunnyMW's shoulder dystocia sheet:
http://s292.photobucket.com/albums/m...t=scan0002.jpg
Some more diagrams:
http://www.thewomens.org.au/ShoulderDystocia
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