Understanding Shoulder Dystocia Injuries

Jan 29, 2023


What is shoulder dystocia?

Shoulder dystocia is a rare but serious complication that can occur during the birthing process. It occurs when the baby's shoulder becomes stuck behind the mother's pubic bone during delivery, making it difficult for the baby to be born. This can lead to injuries for both the mother and the baby.

One of the most common injuries associated with shoulder dystocia is brachial plexus injury. The brachial plexus is a network of nerves that run from the spinal cord to the shoulder, arm, and hand. When the baby's shoulder becomes stuck, the brachial plexus can be stretched or torn, leading to weakness or paralysis of the arm.

Erb's Palsy is one of the most common form of brachial plexus injury that occurs due to shoulder dystocia. This injury affects the upper group of nerves and it results in weakness or paralysis of the arm, with a characteristic "waiter's tip" position of the arm.

Another injury that can occur with shoulder dystocia is clavicle fracture. The baby's clavicle, or collarbone, can be fractured during the delivery process if the baby's shoulder is pulled or twisted in an effort to free it from the pubic bone.

Shoulder dystocia can also lead to injuries for the mother. Some of the most common injuries include vaginal tears, perineal tears, and pelvic fractures. These injuries can be caused by the use of excessive force during delivery, as well as by the prolonged pushing and straining that can occur with shoulder dystocia.


What are the causes of shoulder dystocia?

Shoulder dystocia can be caused by a variety of factors. One of the most common causes is the baby being in an abnormal position during delivery, such as being breech or transverse. Obesity and gestational diabetes are also risk factors for shoulder dystocia.

Shoulder dystocia can also be caused by medical interventions such as induction of labor, use of instruments like vacuum or forceps to assist delivery, and cesarean section.

It is important to note that shoulder dystocia is a rare but serious complication that can occur during the birthing process. However, it can often be prevented or managed with proper planning and care during pregnancy and delivery.


Can medical providers prevent shoulder dystocia?

In order to prevent shoulder dystocia, proper monitoring of the baby's growth and position during pregnancy is important. It is also important to manage any risk factors such as obesity and gestational diabetes.

It is important to understand that shoulder dystocia is a medical emergency and immediate action is required to prevent injuries to the baby and the mother. The healthcare provider should be well trained in managing shoulder dystocia and have a protocol in place for dealing with this complication.

It is also important for obstetricians and other healthcare providers to be trained in the proper management of shoulder dystocia and to have a protocol in place for dealing with this complication.

If shoulder dystocia is suspected during delivery, proper management techniques can be used to help free the baby's shoulder and minimize the risk of injury. These techniques include the McRoberts maneuver, Woods' screw maneuver, and the Zavanelli maneuver.

In conclusion, shoulder dystocia is a rare but serious complication that can occur during the birthing process. It can lead to injuries for both the mother and the baby, including brachial plexus injury, clavicle fracture, vaginal tears, perineal tears, and pelvic fractures. Proper monitoring and management can help prevent or minimize the risk of injury associated with shoulder dystocia. Health care providers should be trained in the proper management of shoulder dystocia and have a protocol in place for dealing with this complication.


Talk to a Kentucky medical malpractice lawyer who has experience handling shoulder dystocia cases.

If your child has experienced a shoulder dystocia injury during delivery, contact us today. Let our team of experienced Kentucky birth injury lawyers investigate and provide consultation on your loved one's injury for no charge.