Shoulder dystocia

Most of this guideline is aimed at secondary care. From our point of view:

  • Elective Caesarean may be offered to diabetic women with an estimate birth weight of over 4.5kg (though it is acknowledged that estimation of birth weight is inaccurate).
  • Previous shoulder dystocia – ask for this at booking. If there has been shoulder dystocia in a previous pregnancy, there is up to 10x higher risk of it recurring. An elective caesarean shouldn’t be routinely recommended, but should be discussed with the woman as an option.

Louise Hudman

I'm a freelance GP locum in Winchester & Southampton.

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1 Response

  1. Daphne
    Thanks

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