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11 minute stationShoulder Dystocia During Home Delivery
Dispatch
Cat 1 — 27-year-old female, in active second stage of labour, head delivered but body not following with normal traction.
On arrival
Baby's head has delivered and retracted against the perineum ('turtle-neck sign'), no further progress with maternal pushing effort.
Initial observations
- Maternal airway
- Patent, distressed
- Maternal RR
- 28
- Maternal pulse
- 116
- Maternal BP
- 128/80 mmHg
- Fetal head
- Delivered, retracted against perineum, no restitution
- Time since head delivery
- Approximately 60 seconds and increasing