Shoulder Presentation

Aka: Shoulder Presentation, Transverse Lie

advertisement

II. Definitions

  1. Transverse Lie
    1. Fetal Lie perpendicular to mother's long axis
  2. Shoulder Presentation
    1. Occurs when fetus is transverse with back down
    2. Shoulder sits over pelvic inlet

III. Epidemiology

  1. Incidence: 0.3% of singleton births

IV. Causes

  1. Prematurity
  2. Placenta Previa
  3. Abnormal Uterus
  4. Contracted Pelvis or relaxed abdominal wall
  5. Polyhydramnios

V. Diagnosis

  1. Leopold's Maneuvers
    1. Transverse Lie should be easy to identify
  2. Digital cervical exam
    1. No presenting part

VI. Management

  1. Ceserean section required in most cases
  2. Indications to consider External Cephalic Version
    1. Intact membranes and no labor
    2. Back-up Transverse Lie with Cervix fully dilated

VII. Complications

  1. Uterine Rupture

Images: Related links to external sites (from Bing)

These images are a random sampling from a Bing search on the term "Shoulder Presentation." Click on the image (or right click) to open the source website in a new browser window. Search Bing for all related images

Related Studies (from Trip Database) Open in New Window

Related Topics in LAD

advertisement

2019 Family Practice Notebook, LLC. Terms | Privacy (EHS) | About | Site Map | Blog

Footer Site Logo