CALM Shoulder Screen

[636Jen]

Does anyone know anything about this? During my homework on shoulder dystocia, I ran across this:

Shoulder dystocia occurs when the baby’s shoulder gets stuck behind the mother’s pubic bone during the delivery. Until recently, this complication was considered largely unpredictable and unpreventable – and thus responsible for some 7,000 delivery complications across Canada in 2001. The JGH will be the first in the province of Quebec to implement this risk reduction program.

But that's all I can find about it.....nothing about an actual screening that people are utilizing.

Anyone?


TIA!

[FairFlowers]

Try this link: http://www.lmsmedical.com/4105/03_04...der_screen.asp
Looks like it's some sort of computer program.

As a midwife there are some things I look for:
Previous shoulder dystocia
Birth of head is veerrrrry slow and requires much effort
Big baby

My question is: if they decide with their little program that a woman is at risk for shoulder dystocia, will they recommend changes in position during pushing, and make sure that everyone is ready to deal with a dystocia? Or will they simply do a c-section?

[636Jen]

Originally Posted by FairFlowers

My question is: if they decide with their little program that a woman is at risk for shoulder dystocia, will they recommend changes in position during pushing, and make sure that everyone is ready to deal with a dystocia? Or will they simply do a c-section?

Thanks for the link! I'm pretty sure they were looking at doing a scheduled C-section for those who were "at risk." I'm still reading about it so I hope that's not true.

[homewithtwinsmama]

Originally Posted by FairFlowers

Try this link: http://www.lmsmedical.com/4105/03_04...der_screen.asp
Looks like it's some sort of computer program.

As a midwife there are some things I look for:
Previous shoulder dystocia
Birth of head is veerrrrry slow and requires much effort
Big baby

My question is: if they decide with their little program that a woman is at risk for shoulder dystocia, will they recommend changes in position during pushing, and make sure that everyone is ready to deal with a dystocia? Or will they simply do a c-section?

Except I just encountered and SD at birth with a very fast second stage, small baby and no previous history. The arm was around the back of the head and that got the elbow and shoulder hung up.

[636Jen]

The way I read it:

Your patients' expectations are of giving birth to a perfectly healthy baby every time. Even an excellent obstetrician with a perfect track record faces the possibility of litigation.

Because OBs get sued so often, this screening will determine who is at risk for SD and therefore be "required" to get a c-section. (??)

From that site:

Improve timely diagnosis of labor dystocia. By employing the CALM Curve, you and your team obtain a continuous assessment of the mother's labor progress, allowing you to clearly define when she has fallen outside normal limits of labor based on pre-defined hospital and medical guidelines.

Measure fetal heart rate patterns using a rule-based system to better identify the fetus at risk for brain injury from oxygen deprivation. Using CALM Patterns™, you can detect and measure features in fetal heart rate recordings, including baseline, accelerations, decelerations and variability. In turn, the software classifies the FHR patterns into different risk categories based on selected standards.

Identify patients at risk of shoulder dystocia, before the onset of labor. By using CALM Shoulder Screen™, you can assess the risk of shoulder dystocia with injury from 37 weeks of gestation onward and discuss the recommended plan of action with your patient.


I'm sure this is how ultrasounds started......

[momileigh]

Sounds like Friedman's curve on crack to me.

[holly6737]

Sounds kind of scary...

[Peppamint]

Originally Posted by momileigh

Sounds like Friedman's curve on crack to me.