The phrase "difficult birth due to stuck shoulders" causes fear for every obstetrician and women about to enter the stage of childbirth. However, many people still do not really know about this situation.
So difficult to be born due to the shoulder is a situation like? Please find out with aFamilyToday Health in this article!
Shoulder jam is a term for a condition that occurs during labor when the fetal head has crossed the mother's pelvis but the shoulders are stuck behind. This condition often makes it difficult to give birth and prolongs labor time of pregnant mothers. If this is the case, doctors must use supportive interventions to lift the baby's shoulder from the mother's pelvis and help the delivery process succeed.
A fetus with a shoulder stuck at birth is considered an emergency and needs to be handled quickly to avoid possible complications.
An obstetrician can identify a shoulder jam when the baby's head has come out of the mother's pelvis, but the rest of the body can't escape. Doctors often refer to the symptoms of dysplasia due to a shoulder jam "signs of a turtle". The reason for this is that the fetal head has come out, but then retracts back into the mother's body, just like a turtle, sometimes bringing the head out of the shell, sometimes the head pulled back.
Some pregnant mothers are at greater risk of developing a difficult condition due to a shoulder jam than others, including:
Have diabetes or gestational diabetes
Have ever had a high birth weight or have had an enlarged fetus (macrosomia)
Having a history of difficulty giving birth due to a shoulder jam
Labor through stimulation
Fat
Labor later than the due date
Supportive delivery means the doctor needs to use forceps or tools to take the baby out
Multiple pregnancy.
However, in some cases, pregnant mothers may still have difficulty giving birth due to shoulder jam even though there are no risk factors.
Contrary to popular belief, there is no exact method for predicting the risk of dysplasia due to a shoulder jam. Obstetricians can only really diagnose this condition during pregnancy, when the baby's body cannot come out of the mother's pelvis even though the doctors have performed some supportive movements. usually, common, normal. Doctors will diagnose it as difficult to deliver due to a shoulder jam if you notice that your baby's body cannot move easily and needs to take more intensive measures to take the baby out.
During labor, the difficulty of giving birth due to stuck roles occurs very quickly. If it is diagnosed that the pregnant mother is facing this condition, the doctor will quickly find ways to overcome and help the birth smoothly.
Trouble giving birth due to a shoulder jam can increase the risk for both the mother and the baby. Most cases of difficulty giving birth due to a shoulder jam do not leave any significant or lasting complications for either mother or baby. However, in rare cases, having difficulty giving birth due to a shoulder jam can cause some of the following complications:
Too much bleeding in the mother
Injury to the baby's shoulder, arm or hand
Loss of oxygen reaches the baby's brain, which can cause brain damage
Damage to certain areas of the mother's body, such as the cervix, rectum, uterus, or vagina.
Usually, in the case of a difficult delivery due to a shoulder jam, doctors can treat and minimize most complications, ensuring long-term health for both mother and baby. Just under 10% of babies from dystocia due to a shoulder jam have permanent complications.
If you have had a difficult-to-give-birth condition from a shoulder jam once, you are at risk for it in future births. So talk to your doctor about your condition to make sure both mother and baby are safe during the birth.
There is a method available called “HELPERR”, which serves as the guiding steps for dealing with dysplasia caused by a shoulder jam:
“H” means “help”: In this case, the obstetrician usually asks for more help, possibly from a nurse or other doctor.
"E" stands for "Evaluation of perineal incision tips (Evaluate for episiotomy)": Rach perineal trick small incision in the perineum section, help extend your vagina. This procedure is usually only supportive, but cannot completely resolve the difficulty of giving birth due to a shoulder jam because your baby is often too big to be able to get out of the pelvis.
“L” stands for “Legs”: Your doctor may ask you to bend your legs toward your abdomen. This movement is known as "McRoberts". This method helps to expand the pelvic area, flatten your protrusion, thereby helping the baby move out more easily.
“P” stands for “Suprapubic pressure”: The doctor will press on certain positions on the pelvic area to help rotate the baby's shoulders in a direction so that the baby can easily move out. than.
"E" stands for "Enter maneuvers": The doctor will rotate the baby in many directions to find the position to help the baby move out more easily.
“R” stands for “Remove the posterior arm from the birth canal”: If the doctor is able to lift a baby's hand out of the mother's vagina, the will be easier.
“R” stands for “Roll the patient”: The doctor will guide the mother to move her arms and legs. These movements can make it easier to get your baby out.
Doctors can follow these instructions in different sequences, accordingly, for best fit and effect. In addition, there are other techniques that can be used to make it easier to get your baby out. Depending on the mother's body, the position of the baby as well as the experience of the doctors themselves, they will choose to apply different procedures.
In fact, doctors can identify risk factors that can lead to difficulty in delivery due to a shoulder jam. They can then decide to take the necessary interventions, such as a cesarean section or a push to deliver before the fetus becomes too large.
Obstetricians can predict the risk of difficult birth due to the shoulder jam of pregnant mothers. So talk to your doctor to find out about potential complications and help them prevent this during pregnancy.
Dysfunction caused by a shoulder jam is a condition that can occur during labor and if not handled properly can lead to permanent complications for mother and baby. While shoulder problems are only accurately identified when they occur during childbirth, the risk of having this condition can be predicted by the risk factors. So, when there are risk factors, you should talk to your doctor to take action when needed.
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