Jump to content

Shoulder dystocia
Why wasn't I told about it..?


9 replies to this topic

#1 MakesMeHappy

Posted 04 April 2012 - 11:11 PM

Hi, I'm wondering if anyone can tell me why I would not have been told that DS1 had shoulder dystocia at birth?

A little background and why I'm wondering about this now...

My first birth I was induced and he ended up being delivered by vacuum. When he came out he wasn't breathing and had to be resuscitated. They told me this was because he had a bit of a shock and a hard start to life. I accepted this answer. He was in the SCN for 2 nights. I wasn't overly concerned with any of this as the dr's and MW's didn't tell me I should be worried for any reason.

After I was discharged from hospital I read through the discharge summary and it all sounded a little more scary than I thought and it mentioned that he had shoulder dystocia at birth. But my little man was fine so I never asked anyone or really worried.

I am now pregnant again and had my first appointment with the hospital. The MW was asking my history. i ran off the details and I mentioned that I had read about the shoulder dystocia but no one had actually told me about it. I sort of got the impression that she thought I didn't know what I was talking about.

So I came home read through my birth summary again to confirm to myself I didn't make it up and then googled shoulder dystocia. To me it sounds like something I should have been told about at the time. Is it something I have to worry about in future births??

Sorry for the long winded post, I know no one can really answer me why I wouldn't have been told, but just thought I'd ask

I also hope I have put this in the right section....

Edited by MakesMeHappy, 12 December 2012 - 07:26 AM.


#2 popsuko

Posted 04 April 2012 - 11:27 PM

You definitely should have been told about that at the time!

I don't know a heap about it myself. I haven't had to deal with it personally, thank god. When I had DD 6 weeks ago, I'd been induced and they'd estimated her size as 4.8kg on an ultrasound the day before, so some of the staff were concerned this was mega-baby and that we'd have difficulty getting her out. She was actually 4.3kg and I pushed her out without any problems (apart from a 3rd degree tear...) I remember when I was just getting to the pushing stage that the midwife got all serious with me and said, if she asked me to change position whilst I was pushing it was very important I did as she asked and did I understand that and would I do it? And I was like, yes, of course. I'm sure she was preparing me in case this baby had shoulder dystocia and I had to get into a better position quickly to get her out.

Probably the best book I've ever read about birth, and the only reason I know what shoulder dystocia is, is 'Ina May's Guide to Childbirth' by Ina May Gaskin. She learnt a great technique for dealing with shoulder dystocia from midwives in tribes somewhere in South America. She took the technique back to the US and won an award for the good it's done there. I think it was essentially just getting onto all fours or something. I can't remember. But check it out. It might be reassuring about ways to deal with it if it does come up for you again. Good luck.

#3 veggiepatchfamily

Posted 05 April 2012 - 03:03 PM

How big was he born? Why and at what gestation were you induced?

When you were birthing your baby did they put you on all fours, or press down (rocking) on your public bone, or pull your legs up high towards your shoulder (if you were on your back)?
There are the most common ways to manage a SD.
However, it is not uncommon for a babe to be stunned at birth from the vacuum.
If it was a very mild SD that didn't require any intervention to resolve then unless your 2nd baby is bigger there shouldn't be a large risk factor.
Doctors take a SD very seriously and if they were concerned should do a check growth ultrasound closer to birthing and either would suggest an earlier induction (to prevent full growth) or a c-section if there is a large risk to mother and baby.

If you have had a previous SD you are at risk of another, unless risk factors have changed- ie 1st baby was large due to gestational diabetes, which is not occured 2nd time around etc).

If it is a risk again, learn about favorable labour and birthing position that maximize the pelvis size and structure.

Sorry if this is a little disjointed, my DS keeps getting me to come and roll playdough so I'm back and forth :-)


#4 Feralishous

Posted 05 April 2012 - 03:49 PM

subscribing

#5 Diamond~Sky~Lucy

Posted 05 April 2012 - 04:02 PM

Same happened to me.  Only found out about the shoulder dystocia with DD1 at 33 weeks pregnant with DD2, and I had to see a different ob as mine was away.  Can only assume this is because my ob is very laid back, and generally very calm and so he didn't mention it.  I was told that it was "mild" dystocia with DD1, however she was smallish (6pnd9) so  I was certainly concerned when I googled dystocia.  At the time, I remember the pushing went on forever, and eventually they told me DD! was distressed and she needed to come out straight away.  I was assisted from the floor to the bed, a second ob was called in and my partner too was asked to assist by holding one of my legs up against my shoulder.  We managed to get her out like this, and she was given some oxygen straight away, but everything thankfully was fine.

I suspect though it was considered at all times by my ob as my baby was predicted to be big, and ob was talking about possible early induction due to this.  At the time though, did not induce, went into spontaneous labour at 39+2, baby was an average size, and NO problems whatsoever.  I was told by the midwife that due to the history of shoulder dystocia (which I ensured she knew about) that when it came time to push that I would have to do so lying on my back on the bed, as opposed to however I found it easier.

Good luck.   I was really worried when I was told about the shoulder dystocia, and all I could really incorporate into my own management plan was to ensure that midwifes etc knew about it from the time I went into labour (ie every p/c to the hospital - as I laboured for a while at home - and as soon as I presented and was allocated a midwife) so that they knew that this may need to be managed again.

Edited by Diamond~Sky~Lucy, 05 April 2012 - 04:06 PM.


#6 Xiola

Posted 05 April 2012 - 04:10 PM

I was in the same boat as you.  I didn't realise how serious all of the things that happened were during DS2's birth until I became pregnant with DD and a blood loss/3 SPD manouveurs were mentioned.  I don't know why they don't tell you things....it seems strange to me as well.

#7 samshine

Posted 05 April 2012 - 04:16 PM

Hi OP

I would've thought it was something they may have discussed with your prior to discharge?

I had SD with my first.  I had an extremely long second stage and then shoulder dystocia.  It was treated with my legs being put in stirrups & staff pushing on my stomach (McRoberts procedure).  Like your baby, DD was removed by vaccuum and required resus.  

I had no idea what was going on at the time, or after.  I know it was explained briefly to me during my stay, however it was one of so many complications in her labour and birth that required discussion, so I didn't give it much thought until later.

I know more of an emphasis was placed on it when I was pregnant again.  My first was 3.66kg and my second 4.35kg.  After labouring until 10cm, DS showed a bit of resistance at progressing and due to his predicted size, the ob on duty (Iwas public) was not really happy to proceed so I had an emergency CS.  

I would definitely second PPs suggestion of researching positioning for birth. Also, as you are birthing at a different place, I would give them a copy of your previous discharge summary.  I found that a lack of continuity of care with my second (I had a different ob at every drs appt) meant one ob would be concerned about DS predicted big size and repeat SD and the next would brush it off.  I have just had my 3rd privately and she remarked that due to the discrepancy in size between my first and second  babies she would have managed my second pregnancy/birth a lot differently.  So having your caregiver informed and understanding is paramount in my opinion.  

I don't mean to scare you with the above.  But it is worth perhaps researching more.  Can you get copies of your notes from your first birth?  We did that prior to TTC this time so we had all the info available on how best to manage this time.

Good luck OP.

#8 Iwantitall

Posted 05 April 2012 - 04:59 PM

Maybe they didn't think it was severe enough to warrant saying anything?  Maybe the thought it was more to do with the position you were giving birth?

My last birth was severe shoulder dystocia.  I found out the next day why all hell broke loose. (codes being called, a million people in the room all of a sudden, looking over after DS was out and seeing the ped. doing chest compressions on my baby, not getting to hold him for a while) The OB had to get her hand up inside me beside DS3 and get him unstuck.  I was very very lucky that serious internal damage was not done (he was very stuck) He had a very traumatic birth and it took me a long time to recover (felt like my insides were falling out when I walked  ohmy.gif ) ohmy.gif

Now I am pregnant with # 4 and have been told I will have to have a c-section as they will not risk the baby or I with another birth like that (due to how severe it was)

They really should have discussed the birth at your first followup (the one you usually have while in hospital!)

Just wanted to add, I was labouring and pushing on all fours over the back of the bed, usually a great position, but it made no difference in my case.  He was a big boy with wide shoulders (and still is lol)

Edited by beljane, 05 April 2012 - 05:01 PM.


#9 spando

Posted 06 April 2012 - 02:44 PM

I had shoulder dystocia with DS1 he had to be revived apgars or 1and 4 so not well. After that birth I was pretty unhappy with my ob so for the next one I changed. In DS1 obs letter to my gp which he used to refer me on it was described as an uneventful birth (he was 5kgs). It wasn't until we requested my medical file that the midwives notes of shoulder dystocia were mentioned I was induced at 38weeks with dd1 due to DS shoulder dystocia and she was 4.5 kgs happy and healthy.
They happily offered me a c section but said they were happy for me to try natural but if at anytime they were concerned they would do an emergency c section.
Hope that helps.

#10 MakesMeHappy

Posted 07 April 2012 - 02:13 PM

Thank- you for all the replies. You have all made me realise this is something I need to find out more information about.
  
QUOTE (popsuko @ 05/04/2012, 12:27 AM)
14461153[/url]']

Probably the best book I've ever read about birth, and the only reason I know what shoulder dystocia is, is 'Ina May's Guide to Childbirth' by Ina May Gaskin.


Thank you for the book suggestion. I will get it and have a good read through.

QUOTE (veggiepatchfamily @ 05/04/2012, 04:03 PM)
14462671[/url]']
How big was he born? Why and at what gestation were you induced?

When you were birthing your baby did they put you on all fours, or press down (rocking) on your public bone, or pull your legs up high towards your shoulder (if you were on your back)?


I was induced at 40 weeks because of pre- eclamsia, he weighed 3.9kg.
I gave birth on my back and they didn't press down on me or anything like that, but I did have my knees quite close to my chest. But I thought that was my choice.


QUOTE (samshine @ 05/04/2012, 05:16 PM)
14462838[/url]']
Hi OP

I would've thought it was something they may have discussed with your prior to discharge?


Can you get copies of your notes from your first birth?


I though it was something they should of discussed with me to, but now when I think about it they didn't really discuss much with me. huh.gif

And yes the midwife that I saw at the hospital the other day sent away a request to get my birth notes. At least they will have all the information and I can ask them some more questions.

QUOTE (beljane @ 05/04/2012, 05:59 PM)
14462932[/url]']
Maybe they didn't think it was severe enough to warrant saying anything?  Maybe the thought it was more to do with the position you were giving birth?


Yes, this might have been the case my DS didn't have any problems afterwards so maybe it was just very mild so to them not worth mentioning. And I wasn't asking a lot of questions at the time either

I had to give birth on my back the whole time because I was induced I had to be constantly monitored.
QUOTE (spando @ 06/04/2012, 03:44 PM)
14464741[/url]']
I had shoulder dystocia with DS1 he had to be revived apgars or 1and 4 so not well.


My DS had low apgards too and was monitored in SCN, could this have had something to do with the shoulder dystocia? I don't even know what low apgars are?? I am starting to feel very stupid for not asking more questions at the time...    

Thank again, I have definatly learnt to ask more questions



Reply to this topic



  


2 user(s) are reading this topic

0 members, 2 guests, 0 anonymous users

 

Special Ticket Offer, Save $8!

The Essential Baby & Toddler Show is back this April! Save $8 off the door price for a limited time only!

Why I breastfed my son until he was three

The fact that I not only breastfed my son, but breastfed him for three and a half years, seems pretty incredible in retrospect.

Do babies and young children see ghosts?

Do babies and young children see ghosts? If you’ve pondered the question, you’re not alone.

15 years with Essential Baby: meet Therese

"Life has a funny way of giving you what you need when you need it the most."

Mum causes a stir by taking a stand against leggings

A mum has found herself the subject of debate after claiming tight bottoms cause lustful thoughts in men.

Don't set a parenting goal for 2015 - do this instead

The problem with goal setting as a parent is the measure. How do we really know if we’re succeeding?

5 pregnancy myths that just won't go away

When you're expecting, it often seems like everyone is keen to offer advice about what you should and shouldn't do in the interests of your health and wellbeing.

RPA hospital contacting mums after discovering vaccine storage fault

Sydney's Royal Prince Alfred Hospital (RPA) is trying to contact women who had babies at the facility after discovering a fault in a refrigerator containing vaccines.

'Nutella' not a baby name, French court says

A French court has blocked parents from naming their baby girl after the hazelnut spread Nutella, arguing it would make her the target of mockery.

Why I'm never calling myself 'just a mum' again

I’ve grown three human beings. I feed them, dress them, teach them, care for them and love them 24 hours a day. Yet for eight years, when I meet new people and they’ve asked me what I do, I tell them: “I’m just a mum”.

Rosie Batty named 2015 Australian of the Year

One year ago, Rosie Batty could not have imagined she'd be where she is. Tonight the grieving mum who put domestic violence on the national agenda was named Australian of the Year.

Five reasons to hug more

Hugging – some of us thrive on it, even depend on it – and then there are those who don't care for it really. So, are they missing out?

Help - my three-year-old has started throwing tantrums

My daughter never went through the "terrible twos" but began throwing wild tantrums shortly after her third birthday.

That's commitment

First peek at Sonia Kruger's daughter Maggie

"She smells so good, I could eat her," Kruger tells co-host David Campbell.

Mum assists in own caesarean surgery

A mum who partly delivered her own twins during a caesarean has encouraged other women to take control of their birthing experience.

How to handle common childhood regressions

Regression can be a natural and common part of development prompted by a variety of factors, but that doesn't make it less frustrating.

Disgruntled dad's pram ad goes viral

When buying a second hand pram, there are lots of things to take into consideration. 

Man discovers he's a dad after finding 55-year-old letter

Discovering you are about to father a baby is startling enough - never mind finding out you have a 61-year-old son.

15 thoughts mums have during a tantrum

Ranging from mild to feral and triggered by events both minor and major, tantrums certainly keep life interesting.

Natural pain relief in the early stages of labour

While managing labour pains on your own can be daunting, there are a number of natural pain relief options to help you cope until you are admitted to hospital.

Win an Octonauts prize pack

To celebrate the launch of Octonauts Live! Operation Reef Shield, a spectacular underwater adventure live on stage, we are giving away an amazing Octonauts prize pack to one lucky fan.

Download now: Essential Kids Activity Finder app

Got bored kids? Quickly find the best activities for kids wherever you are in Australia with the Essential Kids app.

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

Forgotten Baby Syndrome claims the life of toddler

One baby dies every eight days in the back of a car in the US, victims of 'forgotten baby syndrome'.

For a brief time, I was touched by an angel

For a brief time, I was touched by an angel. You stole my heart, and changed me into the women I am today.

Chinese woman gives birth to quintuplets

After six years of trying for a baby, a couple’s dreams have come true many times over after the mum gave birth to quintuplets this week.

Chrissie Swan has reached her "sex quota"

Chrissie Swan says she and her partner have sex once a year due to her fear of falling pregnant.

Stars help save choking babies

It's an important lesson to learn, but one that busy new mums and dads might overlook until it's too late.

New Girl star Zooey Deschanel pregnant

Actress Zooey Deschanel is expecting her first child with her producer boyfriend Jacob Pechenik.

16 times 'dad reflexes' saved the day

Of course, in some cases they may be the ones who actually got their child into a precarious position in the first place, but we'll ignore that for now.

Couple's 'non-traditional' pregnancy announcement goes viral

Knowing you are not the father of your pregnant wife's baby would usually indicate a rocky relationship ahead for traditional parents.

The trials and tribulations of identical triplet newborns

Pip Donnelly is still playing spot the difference with her newborn identical triplets, Isabelle, Georgina and Frankie.

Win an Octonauts prize pack

To celebrate the launch of Octonauts Live! Operation Reef Shield, a spectacular underwater adventure live on stage, we are giving away an amazing Octonauts prize pack to one lucky fan.

Earthquake baby thriving five years on

Jenny Alexis is lucky to be alive after spending four days buried in the rubble of the 2010 Haitian earthquake, but now she's a thriving five year old.

Please don't say I'm lucky because I was adopted

On the one hand I was having a regular life with friends and sports and sleepovers and school. But I was also always wondering: Did my mother love me? What was wrong with me?

An open letter to non-parents who offer advice on child-rearing

Kitty, when you’re the parent of my child you’re welcome to wade in with an opinion – but until then, I’d prefer you to have a supportive ear and a glass of wine ready.

Couple arrested over baby gun video

A US couple faces charges after investigators say they found mobile phone videos showing the woman's 12-month-old daughter putting a handgun in her mouth.

NSW Health dumps 10-year limit on frozen embryos

A 10-year time limit on storing frozen embryos that were created with donor sperm has been dropped by the NSW government.

How my happy-go-lucky husband became a monster

Sharan Nicholson-Rogers watched her husband change from a happy-go-lucky police officer into an unpredictable man prone to violent and emotional outbursts.

Dads-to-be experience hormonal changes, too

Dads-to-be experience hormonal changes in line with their pregnant partners, a new study shows.

'They were just doing their job': mum of toddler killed in police chase gone wrong

"They were just doing their job. I feel so sorry for them. It is all just too sad."

Miscarriages to be formally recognised by NSW government

Women who miscarry will be able to obtain an optional "recognition of loss" certificate as a formal recognition of their often heartbreaking loss.

Cafe cubby house 'too noisy' for neighbours

Teenage parties, domestic disputes, or raucous late night pubs are the things that usually come to mind when you think neighbourhood noise complaints.

Dad films baby playing with snake

Most parents would not consider a snake an appropriate playmate for their baby, but a US dad who filmed his daughter playing with a python has defended himself against criticism.

Clever breastfeeding products

Check out this range of products designed to help make your breastfeeding journey more enjoyable, manageable and convenient.

 

Back to School Offer

Findababysitter.com.au

We've got you covered for this school year. Use www.findababysitter.com.au to meet local nannies now.

 
Advertisement
 
 
Essential Baby and Essential Kids is the place to find parenting information and parenting support relating to conception, pregnancy, birth, babies, toddlers, kids, maternity, family budgeting, family travel, nutrition and wellbeing, family entertainment, kids entertainment, tips for the family home, child-friendly recipes and parenting. Try our pregnancy due date calculator to determine your due date, or our ovulation calculator to predict ovulation and your fertile period. Our pregnancy week by week guide shows your baby's stages of development. Access our very active mum's discussion groups in the Essential Baby forums or the Essential Kids forums to talk to mums about conception, pregnancy, birth, babies, toddlers, kids and parenting lifestyle. Essential Baby also offers a baby names database of more than 22,000 baby names, popular baby names, boys' names, girls' names and baby names advice in our baby names forum. Essential Kids features a range of free printable worksheets for kids from preschool years through to primary school years. For the latest baby clothes, maternity clothes, maternity accessories, toddler products, kids toys and kids clothing, breastfeeding and other parenting resources, check out Essential Baby and Essential Kids.