Obstructed labor due to shoulder presentation digital illustration

Obstructed labor due to shoulder presentation Save


ICD-10 code: O64.4

Chapter: Pregnancy, childbirth and the puerperium

What is Obstructed Labor Due to Shoulder Presentation?

Obstructed labor due to shoulder presentation is a condition that occurs when the baby's shoulder gets stuck behind the mother's pubic bone during delivery. This can cause significant complications and increase the risk of injury to both the mother and the baby.

Causes of Obstructed Labor Due to Shoulder Presentation

There are several factors that can contribute to obstructed labor due to shoulder presentation. These include:

  1. Fetal macrosomia, or a larger-than-average baby
  2. A narrow pelvis in the mother
  3. A breech presentation, where the baby is positioned feet-first
  4. A baby in the transverse lie, which means the baby is positioned horizontally across the uterus
Symptoms of Obstructed Labor Due to Shoulder Presentation

Some of the symptoms of obstructed labor due to shoulder presentation include:

  • Prolonged labor
  • Sharp pain in the perineum
  • Difficulty pushing
  • Fetal distress
Treatment for Obstructed Labor Due to Shoulder Presentation

There are several treatment options for obstructed labor due to shoulder presentation, depending on the severity of the condition and the overall health of the mother and the baby. These may include:

  1. Changing the mother's position to encourage the baby to turn
  2. Using forceps or a vacuum extractor to help deliver the baby
  3. Performing an episiotomy, which is a surgical incision to enlarge the vaginal opening
  4. Performing a cesarean section if other methods are not successful
Conclusion

Obstructed labor due to shoulder presentation is a serious condition that requires prompt medical attention. If you suspect that you may be experiencing this condition, it is important to seek medical care immediately. With proper treatment, however, most cases of obstructed labor due to shoulder presentation can be successfully resolved, resulting in a healthy delivery for both the mother and the baby.