However, most cases of
shoulder dystocia in normal weight babies can not be anticipated, and an evaluation of risk factors is not always helpful.
I did recently come across someone referring to the modified APGAR score when describing a case
of dystocia in a bitch and I must admit I had not heard of it being used before.
There are also known warning signs which should suggest to the midwife or clinical team that there is a risk of shoulder
dystocia occurring.
Cesarean Section (surgical delivery of kittens) is rare in cats unless there are complications such
as dystocia (an unborn kitten lodged in the birth canal).
For example, it may be necessary to revisit the definition of
labor dystocia because recent data show that contemporary labor progresses at a rate substantially slower than what was historically taught.
We were told later by a doctor that we were lucky that my daughter did not have any complications like shoulder
dystocia because of her size.
According to The Kennel Club, the Pekingese tend to suffer
from dystocia with most of the litters experiencing more bouts of uterine inertia as opposed to a physical blockage.
While anyone who suffers a severe shoulder injury can develop Erb's palsy, it is most often associated with shoulder
dystocia during labor and delivery.
Maternal factors which can
cause dystocia include small pelvic size, small birth canal, or uterine inertia.
The dams of these breeds who
experience dystocia during labor have about an equal percentage of uterine inertia and a physical blockage in terms of causes, according to statistics provided by The Kennel Club.
Bitches that have not yet reached adult size will, also, be more at risk for delivery issues
like dystocia which may end up requiring an emergency C - section.
Our firm is staffed with the kind of brachial plexus malpractice lawyer Miami FL needs and has handled numerous cases on behalf of families with children who suffered severe shoulder
dystocia due to medical negligence.
Elective cesarean section is available in breeds or individuals at high risk of
developing dystocia (difficult birth).
At J Mater fetal Neonatal Medicine 2011 june you will find that most shoulder
dystocias at a hospital are resolved within 80 seconds, much less than 5 min.
Reproduction, pregnancy, and parturition are also associated with adverse health conditions such as sexually transmitted disease, pregnancy toxemia, metabolic disease, and dystocia [1, 2].
Clinical and experimental data have demonstrated that corticosteroids administered orally or by injection to animals may induce the first stage of parturition if used during the last trimester of pregnancy and may precipitate premature parturition followed
by dystocia, fetal death, retained placenta, and metritis.
For example using the weight of the baby alone as a factor, nearly a quarter of the cases of shoulder
dystocia happen to babies under the considered «danger weight.»
-LSB-...] most famous midwife Ina May Gaskin even has a shoulder
dystocia maneuver named after her involving women moving into an all fours -LSB-...]
Some breeds are known to be more susceptible to fetal injury or death due to peculiar physical structures or prone to
dystocias such as chihuahuas and bulldogs.
Dystocia related to the puppies usually means the birth process (delivery) is inhibited by the malposition of a puppy, the presence of a dead puppy, or by a birth canal too small to pass a large puppy.
Uterine insufficiency is the most common cause of
dystocia arising from the dam.
Theriogenology clinical experience includes, but is not limited to, breeding soundness examination, ovulation timing and breeding management, pregnancy diagnosis and management, artificial insemination, shipping of fresh chilled semen, diagnosis and treatment of reproductive disorders, and
dystocia management in the dog and cat.
Other maternal risk factors include obesity, a short stature, and a history of prior shoulder
dystocia deliveries.
Shoulder
dystocia often occurs when a fetus weighs more than average for its gestational age (fetal macrosomia) and can not easily fit through the birth canal.
A skilled and experienced midwife might need to conduct an undiagnosed breech delivery if there is no time to transfer / get the registrar, or resolve a shoulder
dystocia using certain manoeuvres, or cannulate a haemorrhaging woman (plus put up fluids, rub up a contraction etc), or suture a 2nd degree tear, or resuscitate a flat neonate.
I have been involved in a case with severe
abdominal dystocia (not prenatally diagnosed, the significant fetal ascites in this case) and it is a traumatic event for all involved.
Shoulder
dystocia also puts the baby at risk for developing nerve injuries in his upper body.
A concern voiced by doctors, which often accompanies worries about the size of mom's pelvis and the estimated size of baby, is the shoulder
dystocia fear.
Shoulder
dystocia becomes obvious when the baby's head emerges and then retracts back into the birth canal.
The rate of shoulder
dystocia jumps to 5 % to 9 % for larger babies weighing 4000 to 4500 g (8 lbs 13 oz to 9 lbs 14 oz) at birth.
Shoulder
dystocia affects 0.6 % to 1.4 % of vaginal deliveries when the baby weighs between 2500 and 4000 g (5 lbs 8 oz to 8 lbs 13 oz).
Also known as «
emotional dystocia,» this can be anything from an extreme fear of labor pain, not feeling safe, or lack of privacy, to trauma from prior sexual abuse.
However, increased shoulder
dystocia rates may also be partially due to the interventions women with suspected big babies experience.