Prediction of Shoulder Dystocia--the CALM risk screen--WDYT?

[Synchro246]

The 14lb English baby brought up SD discussion on another forum I'm on. I linked to http://www.shoulderdystociainfo.com & ended up re-reading the entire website (It's SO good!)

This page http://www.shoulderdystociainfo.com/anticipated.htm talks about some new CALM Shoulder Screen.

There's something I just don't like about it, but I don't know what--wait, yeah I do--it's that they are OBVIOUSLY more worried about malpractice than improving outcomes, but THAT's for another thread.

i wish I knew how the screening tool was made. Do you see their accuracy/precision claims?!?!

The data—some already published, some in the process of submission—shows that it is possible to consistently identify 50-70% of patients destined to have a shoulder dystocia with a false positive rate (rate of additional cesarean sections) of only 2.7%. (Dyachenko, Hamilton 2006)

What do you think?

[Charmie981]

its detection rates between 30% and 61% could translate to multi-million dollar savings for large hospital systems or insurers

Could this sentence possibly have a few more qualifiers in it?

I don't consider efficy under 75% efficy at all, so IMHO, 30 to 60% is a really bad advertisement. And it might save hospitals money, but at what cost to mothers and babies?

Also, I don't agree with the three risk factors listed as indicators for SD, so I guess I just don't buy any of it. : But I'm really looking forward to the day when a woman's history is plugged into a computer program and she's told whether her risk is within the hospital's acceptable standards :

[Rockies5]

Originally Posted by Charmie981

Also, I don't agree with the three risk factors listed as indicators for SD, so I guess I just don't buy any of it. : But I'm really looking forward to the day when a woman's history is plugged into a computer program and she's told whether her risk is within the hospital's acceptable standards :

Totally. And I think the CALM program is the risk program. I also think it'll be very popular.

I was laughing out loud on several parts on the infomercial.

1. the mathmatical equation the predicts SD

2. the two mamas. I'm the second one five big babies, no SD. But that was totally my shape for a very long time.

I wish the money would stop being used this way. Free standing Birth centers have better rates of SD and being sued...so why not build more of them?

oh. right. money. this way, they get to sell the program that sort of might sometimes work and get more money that way.

The point ISNT happy healthy mamas abd babies then, is it?

[MsBlack]

Another load of baloney from the people who are ever attentive to their bottom line, and mostly ignorant of women's bodies and processes. I'm so glad to see that so far, no one else thinks much of this, either!

[AzariaJordan]

How very odd on so many levels...

[Maggi315]

wow, that's kind of weird and I think totally bogus! I just had a shoulder dystocia with a probably dislocation (opposite arm, not the one I pulled out, very weird, sent them to a doc, he didn't know either, but it is resolved now at 8 days) with a 7lb 8oz baby. So, I guess that would throw the stupid screen off, huh?

[MsBlack]

What simply CANNOT be predicted is the body-attitude baby will adopt during labor--and as far as I can tell, this is the one thing that creates or prevents SD most reliably. What baby does with arms/shoulders as it descends makes all the difference--of course, coupled with whether or not the birth is 'managed' manually or positionally by care provider (prior to or during descent), how much mom's instincts are honored or not, etc.

Just another way for med ppl to rely more upon their machines than on women and babies and nature....