{"id":1104,"date":"2022-07-19T16:46:35","date_gmt":"2022-07-19T16:46:35","guid":{"rendered":"http:\/\/donahoekearney.com\/?post_type=faqs&#038;p=1104"},"modified":"2025-11-13T21:06:42","modified_gmt":"2025-11-13T21:06:42","slug":"what-is-shoulder-dystocia-and-how-do-i-know-if-it-was-malpractice","status":"publish","type":"faqs","link":"https:\/\/donahoekearney.com\/faqs\/what-is-shoulder-dystocia-and-how-do-i-know-if-it-was-malpractice\/","title":{"rendered":"How Do I Know If Malpractice Caused Shoulder Dystocia?"},"content":{"rendered":"<h2 data-start=\"70\" data-end=\"141\"><strong data-start=\"70\" data-end=\"141\">What Does Dystocia Mean and How Can It Lead to Medical Malpractice?<\/strong><\/h2>\n<p data-start=\"143\" data-end=\"395\">Dystocia is the medical word for a difficult or abnormal labor. It happens when something makes the delivery harder than it should be, like the baby\u2019s position, the size of the baby compared to the mother\u2019s pelvis, or the way the uterus is contracting.<\/p>\n<p data-start=\"397\" data-end=\"702\">Shoulder dystocia is a specific type where the baby\u2019s shoulder gets stuck behind the mother\u2019s pelvic bone after the head is delivered. This is an emergency because if the shoulder isn\u2019t freed quickly, the baby can suffer serious injuries like nerve damage, loss of oxygen, brain injury, or even death.<\/p>\n<p data-start=\"704\" data-end=\"870\">It can be medical malpractice when doctors don\u2019t recognize the signs, don\u2019t act fast enough, or don\u2019t use the right techniques to safely deliver the baby.<\/p>\n<p data-start=\"872\" data-end=\"1023\">A common sign is the \u201cturtle sign,\u201d where the baby\u2019s head comes out and then pulls back in like a turtle. The baby may also have a red, puffy face.<\/p>\n<p><iframe title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/FkDL3fNfI5Y?si=63qgdSWHHnftBY6Q\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h2>What Can My Physician Do About This Type of Complication?<\/h2>\n<p>When shoulder dystocia happens in the delivery room, there are several steps a physician can take to safely deliver the baby. If the doctor suspects shoulder dystocia, they are supposed to begin with the ALARMER sequence before moving on to any other procedures.<\/p>\n<p><strong>ALARMER stands for Ask for help, Leg hyperflexion, Anterior shoulder disimpaction, Rubin maneuver, Manual delivery of the posterior arm, Episiotomy, and Rollover on all fours.<\/strong><\/p>\n<p>Once ALARMER is completed, the physician can use additional maneuvers depending on what is needed.<\/p>\n<h4>McRoberts Maneuver<\/h4>\n<p>The mother\u2019s legs are pulled tightly toward her abdomen. This widens the pelvis and helps straighten the lower spine.<\/p>\n<h4>Suprapubic Pressure Rubin I<\/h4>\n<p>Steady downward or rocking pressure is applied above the pubic bone to help rotate and free the baby\u2019s stuck shoulder.<\/p>\n<h4>Rubin II<\/h4>\n<p>Pressure is placed behind the baby\u2019s anterior shoulder to turn the baby into an angled position that helps free the shoulder.<\/p>\n<h4>Wood&#8217;s Screw<\/h4>\n<p>The physician rotates the baby\u2019s shoulders to move the anterior shoulder toward the back and the posterior shoulder toward the front.<\/p>\n<h4>Jacquemier&#8217;s Maneuver<\/h4>\n<p>The physician delivers the posterior shoulder first by locating the baby\u2019s arm in the birth canal and gently guiding it out.<\/p>\n<h4>Gaskin Maneuver<\/h4>\n<p>The mother is moved to an all fours position. This widens the pelvic outlet and creates more space.<\/p>\n<h4>Zavanelli Maneuver<\/h4>\n<p>The baby\u2019s head is gently returned to the birth canal so the physician can perform an immediate cesarean delivery.<\/p>\n<h4>Intentional Fetal Clavicular Fracture<\/h4>\n<p>The baby\u2019s collarbone is intentionally fractured to reduce shoulder width and help free the shoulder.<\/p>\n<h4>Abdominal Rescue<\/h4>\n<p>A hysterectomy is performed to allow delivery of the impacted shoulder.<\/p>\n<h4>Maternal Symphysiotomy<\/h4>\n<p>The connective tissue between the pubic bones is surgically opened to widen the birth canal.<\/p>\n<p>The ALARMER sequence goes from the least invasive to the most invasive in order to protect the mother as much as possible. If the early steps do not work, the physician should move on to the more advanced procedures.<\/p>\n<h2>Complications From Shoulder Dystocia<\/h2>\n<p>The biggest concern is injury to the brachial plexus, the group of nerves that control the shoulder, arm, and hand. Too much traction can tear these nerves from the spinal cord, especially the motor nerves, which are the most vulnerable.<\/p>\n<p>Other possible complications include Klumpke paralysis, Erb&#8217;s palsy, fetal hypoxia, cerebral palsy, fetal death, and maternal postpartum hemorrhage.<\/p>\n<h2>If Your Child Suffered An Injury After A Difficult Delivery, Call Us Today<\/h2>\n<p>If your child suffered shoulder dystocia at birth in a Washington, D.C., Northern Virginia, or Maryland hospital, contact Donahoe Kearney to see whether you have a case.<\/p>\n<p>Families across the DMV trust us when birth injuries happen in local hospitals such as Washington Hospital Center, Georgetown University Hospital, GW Hospital, Inova Alexandria Hospital, Inova Fairfax, and major Maryland birthing centers.<\/p>\n<p>Schedule your complimentary consultation at <span style=\"color: #3366ff;\"><a style=\"color: #3366ff; text-decoration: underline;\" href=\"tel:202-393-3320\"><strong>202-393-3320<\/strong><\/a><\/span> or tell us your story here: <span style=\"color: #3366ff;\"><strong><a style=\"color: #3366ff; text-decoration: underline;\" href=\"https:\/\/donahoekearney.com\/contact-us\/\">donahoekearney.com\/contact-us<\/a><\/strong><\/span>.<\/p>\n<p>We know this is one of the hardest things a family can go through. A difficult delivery and a scared newborn stay with you, and it is a lot to carry on your own. Thank you for trusting us to help you through it. We take that responsibility seriously and we are here to guide you through every step.<\/p>\n<hr \/>\n<h4><strong>RELATED ARTICLES:<\/strong><\/h4>\n<p><span style=\"text-decoration: underline; color: #3366ff;\"><strong><a style=\"color: #3366ff; text-decoration: underline;\" href=\"https:\/\/www.youtube.com\/watch?v=SuLUdhFGAcU\">Do You Have a Medical Malpractice Case?<\/a><\/strong><\/span><\/p>\n<p><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https:\/\/donahoekearney.com\/practice-areas\/medical-malpractice\/\"><span style=\"text-decoration: underline;\"><strong>Why Do I Need a Lawyer for a Medical Malpractice Case?<\/strong><\/span><\/a><\/span><\/p>\n<p><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https:\/\/donahoekearney.com\/blog\/the-process-for-a-d-c-medical-malpractice-case\/\"><span style=\"text-decoration: underline;\"><strong>What Is the Process of a Medical Malpractice Case?<\/strong><\/span><\/a><\/span><\/p>\n","protected":false},"author":8,"featured_media":3263,"parent":0,"menu_order":0,"template":"","faqs_category":[21],"class_list":["post-1104","faqs","type-faqs","status-publish","has-post-thumbnail","hentry","faqs_category-medical-malpractice"],"acf":[],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO Pro 5.0.4 - aioseo.com -->\n\t<meta name=\"description\" content=\"Can shoulder dystocia be medical malpractice? 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