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Resuscitating the Baby after Shoulder Dystocia
Joint Authors
Menticoglou, Savas
Schneider, Carol
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-07-17
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Background.
To propose hypovolemic shock as a possible explanation for the failure to resuscitate some babies after shoulder dystocia and to suggest a change in clinical practice.
Case Presentation.
Two cases are presented in which severe shoulder dystocia was resolved within five minutes.
Both babies were born without a heartbeat.
Despite standard resuscitation by expert neonatologists, no heartbeat was obtained until volume resuscitation was started, at 25 minutes in the first case and 11 minutes in the second.
After volume resuscitation circulation was restored, there was profound brain damage and the babies died.
Conclusion.
Unsuspected hypovolemic shock may explain some cases of failed resuscitation after shoulder dystocia.
This may require a change in clinical practice.
Rather than immediately clamping the cord after the baby is delivered, it is proposed that (1) the obstetrician delay cord clamping to allow autotransfusion of the baby from the placenta and (2) the neonatal resuscitators give volume much sooner.
American Psychological Association (APA)
Menticoglou, Savas& Schneider, Carol. 2016. Resuscitating the Baby after Shoulder Dystocia. Case Reports in Obstetrics and Gynecology،Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1101626
Modern Language Association (MLA)
Menticoglou, Savas& Schneider, Carol. Resuscitating the Baby after Shoulder Dystocia. Case Reports in Obstetrics and Gynecology No. 2016 (2016), pp.1-3.
https://search.emarefa.net/detail/BIM-1101626
American Medical Association (AMA)
Menticoglou, Savas& Schneider, Carol. Resuscitating the Baby after Shoulder Dystocia. Case Reports in Obstetrics and Gynecology. 2016. Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1101626
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101626