shoulder dystocia

Now, what about a crisis during the actual delivery?

Like a shoulder dystocia.

Exactly.

The baby's head emerges, but the shoulder is physically wedged behind the mother's pubic bone.

I want to dig into that timekeeper role because on its face it sounds a little, um, administrative.

Yeah, it does.

Like a shoulder dystocia is basically a pit stop in a race where the car is actively on fire.

That's a great way to describe it.

But, um, again, I'm only gonna hone in on some of the conditions that would be most likely to show up on an NCLEX or on a nursing exam.

Okay, so the first one we're gonna talk about is shoulder dystocia.

This is, this is an emergency situation, so let's define what it is first.

So this is when the fetal head is presenting, but the fetal neck is not appearing.

They could also be sitting on the umbilical cord at the same time.

So that's why we need to take care of this ASAP.

Risk factors associated with shoulder dystocia are gonna be some of the same risk factors, which is general dystocia, but in particular, big babies, so macrosomia baby.

If mom has diabetes A lot of times diabetes leads to macrosomia, so does m- uh, obesity.

that's it, yeah.

Shoulder dystocia.

The two midwives were having a little bit of an argument whether it was officially one to put down on the paper or not.

Interesting.

Yeah.

So India, just backtracking a bit to when you mentioned that his shoulder got stuck and the kind of questioning of what that was.

Let's say when, neither of us are completely sure, but let's say it was a bit of shoulder entrapment or shoulder dystocia or, you know, the shoulder was just a bit stuck.

Who noticed that? Was that you or was that the midwives? And were you experiencing, you know, what we know as the fetal ejection reflex? And did he then just, did the contraction stop? Like at what point was that discovered, I guess?