Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX
The provided UK guideline excerpts do not detail the immediate management steps specifically for shoulder dystocia during delivery NICE NG235,NICE NG121,NICE CKS,NICE CKS,NICE CKS. However, they do mention that fractured humerus and clavicle are uncommon outcomes associated with adverse events during labour NICE NG235.
General principles for managing urgent situations during labour include assessing the degree of urgency, clinical findings, and the need to expedite birth for maternal or fetal reasons NICE NG235. It is also important to bear in mind the necessity to call for help if the baby needs resuscitation and to ensure facilities for resuscitation are available NICE NG235.