Obstetrics Book

Delivery

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Shoulder Presentation

Aka: Shoulder Presentation, Transverse Lie
  1. See Also
    1. Fetal Malpresentation
    2. Fetal Presentation
    3. Fetal Lie
    4. Fetal Position
    5. Twin Gestation
    6. Occiput Posterior
    7. Breech Presentation
    8. Face Presentation
    9. Brow Presentation
  2. 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
  3. Epidemiology
    1. Incidence: 0.3% of singleton births
  4. Causes
    1. Prematurity
    2. Placenta Previa
    3. Abnormal Uterus
    4. Contracted Pelvis or relaxed abdominal wall
    5. Polyhydramnios
  5. Diagnosis
    1. Leopold's Maneuvers
      1. Transverse Lie should be easy to identify
    2. Digital cervical exam
      1. No presenting part
  6. 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
  7. Complications
    1. Uterine Rupture

fetus or newborn affected by shoulder presentation (C0270061)

Concepts Injury or Poisoning (T037)
SnomedCT 53634006, 206115005
English Fetus born-shoulder presentn., Fetus or neonate affected by shoulder presentation during labor and delivery, Fetus or neonate affected by shoulder presentation during labour and delivery, Fetus/neonate affected by shoulder presentation - labor/del, Fetus/neonate affected by shoulder presentation - labour/del, fetus or newborn affected by shoulder presentation (diagnosis), fetus or newborn affected by shoulder presentation, fetus / newborn affected by shoulder presentation, Foetus or neonate affected by shoulder presentation during labour and delivery, Fetus or neonate affected by shoulder presentation during labor and delivery (disorder), Fetus OR newborn affected by shoulder presentation (disorder), Fetus OR newborn affected by shoulder presentation, Fetus or newborn affected by shoulder presentation
Spanish feto o neonato afectado por presentación de hombro durante trabajo de parto y parto (trastorno), feto o neonato afectado por presentación de hombro durante trabajo de parto y parto, feto o neonato afectado por presentación de hombro durante el trabajo de parto y parto, feto o neonato afectado por presentación de hombro durante el trabajo de parto y parto (trastorno), feto O recién nacido afectado por presentación de hombros, feto O recién nacido afectado por presentación de hombros (trastorno)
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Fetal or neonatal effect of transverse lie (C0270062)

Concepts Pathologic Function (T046)
SnomedCT 18909006
English fetus / newborn affected by transverse lie presentation, fetus or newborn affected by transverse lie presentation (diagnosis), fetus or newborn affected by transverse lie presentation, Fetus OR newborn affected by transverse lie, Fetus OR newborn affected by transverse lie (disorder), Fetal or neonatal effect of transverse lie, Fetal or neonatal effect of transverse lie (disorder), Fetus or newborn affected by transverse lie
Spanish feto O recién nacido afectado por situación transversa, efecto sobre el feto o recién nacido de situación transversa (trastorno), feto O recién nacido afectado por situación transversa (trastorno), efecto sobre el feto o recién nacido de situación transversa
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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