References

Advanced Life Support Group. 2014. http://www.alsg.org/uk/MOET (accessed 20 May 2014)

: American Academy of Family Physicians; 1993

American Academy of Family Physicians. 2014. http://www.aafp.org/about/initiatives/also.html (accessed 20th May 2014)

Baxley G, Gobbo R Shoulder Dystocia. Am Fam Physician. 2004; 69:(7)1707-14

London: Maternal and Child Health Research Consortium; 1998

Gherman RB, Ouzonain JG, Goodwin TM Obstetric maneuvers for shoulder dystocia and associated fetal morbidity. Am J Obstet Gynecol. 1998; 178:1126-30

Gherman RB Shoulder dystocia: an evidence-based evaluation of the obstetric nightmare. Clin Obstet Gynecol. 2002; 45:345-62

Jenkins L Managing shoulder dystocia: Understanding and applying RCOG guidance. British Journal of Midwifery. 2014; 22:(5)318-24

Lewis P The Advanced Life Support in Obstetrics Course. Modern Midwife. 1996; 6:(12)17-9

Lewis P, Dodd P Shoulder Dystocia -Drill or Drama?. Modern Midwife. 1997; 7:(11)11-2

Lewis DF, Edwards MS, Asrat T, Adair CD, Brooks G, London S Can shoulder dystocia be predicted? Preconceptive and prenatal factors. J Reprod Med. 1998; 43:654-8

PROMPT Maternity Foundation. 2014. http://www.promptmaternity.org (accessed 20 May 2014)

Resnick R Management of shoulder dystocia girdle. Clin Obstet Gynecol. 1980; 23:559-64

London: RCOG; 2012

Discourse on dystocia: A much needed professional dialogue

02 June 2014
9 min read
Volume 22 · Issue 6

When I first read the recent article in the May issue of BJM on ‘Managing shoulder dystocia: understanding and applying the RCOG guidance’ (Jenkins, 2014), I was immediately engaged and interested in the identified problem and the innovative approach taken to resolve it. I wanted to know what this author, Louise Jenkins had to say on the subject. It was, in my view, an exemplar as to how a midwife teacher in this case, could take a subject that her students were finding difficult and de-construct it in a manner which drew on recent authoritative guidance (Royal College of Obstetricians and Gynaecologists (RCOG), 2012), ending up with a modification that not only highlighted important aspects of the initial HELPERR mnemonic based approach (Baxley and Gobbo, 2004), but broadened general understanding and insight in to what can be a terrifying and devastating event. In placing this in the context of her student's learning, she provided a comprehensive overview of the professional advice available, the process of managing a shoulder dystocia, and the impact and long term implications for both mother and baby. Overall, a brilliant and well-written professional article, which I have no doubts will enhance not only the learning of Louise's students, but midwives in general.

Register now to continue reading

Thank you for visiting British Journal of Midwifery and reading some of our peer-reviewed resources for midwives. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to our clinical or professional articles

  • Unlimited access to the latest news, blogs and video content

  • Monthly email newsletter