Management of Shoulder Dystocia in a Term Pregnancy: A Case Report

Shoulder dystocia is an obstetric emergency that requires immediate and strategic intervention to prevent fetal and maternal morbidity. We report a case of a 32-year-old primigravida at 39 weeks of gestation who presented with prolonged second stage of labor and subsequent shoulder dystocia. The McRoberts maneuver, suprapubic pressure, and delivery of the posterior arm, were sequentially performed, resulting in successful delivery with minimal complications. This case highlights the importance of a structured approach and the need for multidisciplinary team preparedness in managing shoulder dystocia. The discussion integrates recent literature and guidelines to provide an updated approach to management.

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Publication Details

Journal
Archives of Pharmacy & Pharmacology Research
Published
2025-03-24
DOI
https://doi.org/10.33552/appr.2025.04.000598
Primary Topic
Cardiovascular Issues in Pregnancy
Type
article
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article

Management of Shoulder Dystocia in a Term Pregnancy: A Case Report

Stephen F. Rodrigues
Archives of Pharmacy & Pharmacology Research
Cardiovascular Issues in Pregnancy
article

Management of Shoulder Dystocia in a Term Pregnancy: A Case Report

Stephen F. Rodrigues
article en

Abstract

Shoulder dystocia is an obstetric emergency that requires immediate and strategic intervention to prevent fetal and maternal morbidity. We report a case of a 32-year-old primigravida at 39 weeks of gestation who presented with prolonged second stage of labor and subsequent shoulder dystocia. The McRoberts maneuver, suprapubic pressure, and delivery of the posterior arm, were sequentially performed, resulting in successful delivery with minimal complications. This case highlights the importance of a structured approach and the need for multidisciplinary team preparedness in managing shoulder dystocia. The discussion integrates recent literature and guidelines to provide an updated approach to management.

Archives of Pharmacy & Pharmacology ResearchVol. 4(5)
Wayne State University (US)
Good health and well-being
Openalex Percentile: Top 89%
Cardiovascular Issues in Pregnancy
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