Prevention of Shoulder Dystocia
Shoulder dystocia is a rare obstetric complication during delivery wherein the shoulder of the child is impacted to the maternal pelvis. This usually transpire during the 34th week of gestation period and risk factors include those who have the history in past pregnancy, Asymmetric accelerated fetal growth, diabetes, fetal macrosomia, obese, post term pregnancy, and parity. What makes shoulder dystocia difficult to predict is the fact that not everyone who have the risk factors will suffer from it. Thus, prevention of shoulder dystocia is quite difficult. The best thing to do is to stay healthy and ensure that regular checkup with the attending ob gynecologist is done.
Tips in Prevention of Shoulder Dystocia
1. Treatment of mild gestational diabetes mellitus. This type of diabetes can be defined as two or up abnormal values diagnosis after subjecting oneself to three hours of 100 grams oral glucose and tolerance test, with the patient’s glucose fasting level rated at < 95 mg/dL. By monitoring the patient’s blood glucose, insulin therapy, and diet, patient is known to decrease cesarean deliveries, LGA or the large-for-gestational-age infants, and shoulder dystocia at a significantly high percentage of 60. Thus, it is fair to say that doing this can actually help in the prevention of shoulder dystocia.
2. Regular checkup with trusted ob gynecologist. As the day of delivery fast approach, it is important for pregnant women to continually visit their gynecologist for proper checking up. The ultra sound that the modern medical world offers can already become a helpful tool in the prevention of shoulder dystocia. The procedure offers a three dimensional photo of the fetus, its positioning, its weight, and its sex. Thus, in this same photo, the doctor as well as the parents can immediately see if there are some complications that may arise during the delivery.
3. Healthy diet. Expecting moms have a different diet than a normal woman. This is basically due to the current need that she has, especially that she has a baby in her womb. But to ensure that all the loading up in nutrients is not less or more than what is needed, it is important to get the advice of a dietitian. It is necessary to keep the baby at a nice weight as well as to keep it proportioned as prevention to shoulder dystocia. One of the best ways to do that then is to keep one’s self healthy but not overloading with nutrients that will make the baby’s body quite big for his or her head.
4. Appropriate exercise. Even pregnant women needs exercise too. This time though, the exercises are not for toning the body or muscles but to ensure that the body is properly suited to the upcoming delivery of the baby. On top of that, this will ensure the health of both the expectant mom and her baby. But to be sure that exercising will not harm the delivery, the advice of a trained or medical expert should be acquired. Doing so will guarantee both’s safety and health.