Shoulder dystocia is an obstetric emergency that can complicate vaginal delivery and is characterized by the failure to deliver the fetal shoulders solely using gentle downward traction following expulsion of the head. Shoulder dystocia results from the anterior fetal shoulder becoming impacted behind the maternal pubic symphysis, or less commonly, the posterior fetal shoulder becoming lodged behind the maternal sacral promontory. Most shoulder dystocias are unpredictable and unavoidable; therefore, any clinician involved with a vaginal delivery must have the clinical knowledge to promptly identify shoulder dystocia and be prepared to perform any additional obstetric maneuvers required to effect delivery. When this vaginal delivery complication arises, competency in the recommended sequence of maneuvers and coordinated management with interprofessional clinicians can prevent permanent neonatal injury and asphyxiation. However, clinicians deficient in this clinical knowledge may become a mechanism of greater maternal and neonatal injury by attempting to resolve shoulder dystocia inappropriately. This activity for healthcare professionals is designed to enhance the learner’s competence when managing shoulder dystocia, equipping them with updated knowledge, skills, and strategies for timely identification, effective interventions, and improved coordination of care, leading to better outcomes for patients and reduced maternal and fetal morbidity and mortality.
- Provider:StatPearls, LLC
- Activity Link: https://www.statpearls.com/ArticleLibrary/viewarticle/28994
- Start Date: 2023-09-01 05:00:00
- End Date: 2023-09-01 05:00:00
- Credit Details: AMA PRA Category 1 Credit™️: 1.0 hours
Nursing: 1.0 hours
Pharmacy: 1.0 hours - MOC Credit Details: ABS - 1.0 Point; Credit Type(s): Accredited CME (ABS)
ABPATH - 1.0 Point; Credit Type(s): Lifelong Learning (ABPATH)
ABA - 1.0 Point; Credit Type(s): Lifelong Learning (ABA)
ABS - 1.0 Point; Credit Type(s): Self-Assessment (ABS)
ABP - 1.0 Point; Credit Type(s): Lifelong Learning and Self-Assessment (ABP) - Commercial Support: No
- Activity Type: Enduring Material
- CME Finder Type: Online Learning
- Fee to Participate: Variable
- Measured Outcome: Learner Knowledge, Learner/Team Competence
- Provider Ship: Directly Provided
- Registration: Open to all
- Specialty: All Practice Areas (e.g. ethics), General Pediatrics, General Surgery, Hospital Medicine, Neonatal-Perinatal Medicine, Obstetric Anesthesia, Pediatric Emergency Medicine