shoulder dystocia drill is a practice run-through by a labor
and delivery unit of a mock
shoulder dystocia delivery. It has been suggested both as a
practice protocol and as a
teaching technique for all members of the obstetrical team.
Some authors have stated that
it is the obligation of every delivery unit and every
obstetrician to participate in routine
shoulder dystocia drills as part of obstetrical readiness.
There is an excellent video tape
produced by the American College of Obstetricians and
Gynecologists (ACOG) -- AVL 103 -- that
describes and visually demonstrates a model shoulder dystocia
Although practicing and
preparing for any emergency is always a good idea, it is not
whether a formalized drill performed at regular intervals is
necessary to provide good care.
What is necessary, however, is that obstetricians, obstetrical
nurses, and everyone
involved with deliveries know that any vaginal delivery can
suddenly turn into a shoulder
dystocia emergency and that they are aware of the steps
necessary to resolve this emergency
in an orderly, efficient manner.
Copyright © 2006 Henry Lerner
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